JERRY OMARA

SANTA ROSA, CA
NPI1417794819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2024-07-11
Last Update Date2024-11-12
Business Address
JERRY OMARA
3400 MONTGOMERY DR
SANTA ROSA, CA 95405-5142
Phone number: 707-526-6902
Mailing Address
JERRY OMARA
3400 MONTGOMERY DR
SANTA ROSA, CA 95405-5142
Phone number: