Individual
MS. MARJORIE ANN JERGENTZ-STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3801 MIRANDA AVE, (11K PAD), PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0265
Mailing address
3801 MIRANDA AVE, (11K PAD), PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0265
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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