Individual
MR. DAVID JOHN JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
4847 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1415
(707) 528-9808
Mailing address
1435 20TH ST, LAKEPORT, CA 95453-3048
(707) 349-9484
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
07/08/2010
Last updated
03/04/2014
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