Individual
JAYSON GERONIMO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403-1436
(707) 334-9839
Mailing address
39 TOSCANA DR, AMERICAN CANYON, CA 94503-1470
(707) 334-9839
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012332
CA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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