Individual
MR. JESSE RYAN ALLURED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2344 OLD SONOMA RD BLDG G, NAPA, CA 94559-3708
(707) 253-4341
(707) 299-4387
Mailing address
2130 FUNNY CIDE ST APT 103, NAPA, CA 94559-2053
(707) 253-4341
(707) 299-4387
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P18051
CA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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