Individual
JEFFREY STANSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LE
Contact information
Practice address
855 MAIN ST STE 210, PLEASANTON, CA 94566-6650
(925) 399-1425
Mailing address
855 MAIN ST STE 210, PLEASANTON, CA 94566-6650
(925) 399-1425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9689
CA
Other
Enumeration date
07/28/2021
Last updated
07/29/2021
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