JAMALE RICHARD HART

TRAVIS AFB, CA
NPI1407284029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP124527)
Enumeration Date2013-10-16
Last Update Date2017-04-07
Business Address
Mr. JAMALE RICHARD HART AGACNP-BC
101 BODIN CIR 60 MDG/SGIC
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3932
Mailing Address
Mr. JAMALE RICHARD HART AGACNP-BC
877 EMERALD HILLS CIR
FAIRFIELD, CA 94533-9787
Phone number: 210-837-2797