Individual
PRACHI C JOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5597
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
242709
MA
207RN0300X
Nephrology Physician
Primary
A121507
CA
Other
Enumeration date
09/17/2007
Last updated
07/03/2015
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