JERRY GENUNG

SANTA ROSA, CA
NPI1013078864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  293927)
Enumeration Date2006-12-13
Last Update Date2014-07-07
Business Address
-- JERRY GENUNG
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4970
Mailing Address
-- JERRY GENUNG
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number:
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