Individual
JASON GERARD MARINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5801 PECAN AVE, ORANGEVALE, CA 95662-4622
(916) 840-9567
Mailing address
3840 ROSIN CT, SACRAMENTO, CA 95834-1639
(530) 573-2366
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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