Individual
JASON AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 PINOT NOIR DR, LODI, CA 95240-7408
(209) 715-4814
Mailing address
716 PINOT NOIR DR, LODI, CA 95240-7408
(209) 715-4814
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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