Individual
JENNIFER VIRREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
8978 BAINBRIDGE PL, STOCKTON, CA 95209-4807
(209) 406-4144
(209) 474-1565
Mailing address
8978 BAINBRIDGE PL, STOCKTON, CA 95209-4807
(209) 406-4142
(209) 474-1565
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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