Individual
ADAM DOUGLAS JASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 GUERNEVILLE RD, 224, SANTA ROSA, CA 95403-7220
(707) 544-4433
Mailing address
1421 GUERNEVILLE RD, 224, SANTA ROSA, CA 95403-7220
(707) 544-4433
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA7671
CA
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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