Individual
DR. JULIE M JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1779 DOMINICAN WAY STE B, SANTA CRUZ, CA 95065-1526
(831) 427-7110
(831) 432-1024
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A112966
CA
Other
Enumeration date
01/28/2007
Last updated
11/03/2022
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