JACK ANDREW HARVEY

MANTECA, CA
NPI1033475678
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA  E5204)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: CA  E-5204)
213E00000X Podiatrist
(Licence: CA  E-5204)
Enumeration Date2012-04-09
Last Update Date2016-08-17
Business Address
-- JACK ANDREW HARVEY D.P.M
1234 E NORTH ST STE 106
MANTECA, CA 95336-4961
Phone number: 209-823-2700
Mailing Address
-- JACK ANDREW HARVEY D.P.M
1234 E NORTH ST STE 106
MANTECA, CA 95336-4961
Phone number: 209-823-2700