JASON JUSTIN

SANTA ROSA, CA
NPI1265967079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: CA  PA54845)
Enumeration Date2017-04-29
Last Update Date2021-11-18
Business Address
JASON JUSTIN PA-C
34 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403-1766
Phone number: 707-546-1922
Mailing Address
JASON JUSTIN PA-C
434 S SAN VICENTE BLVD # 100
LOS ANGELES, CA 90048-4108
Phone number: