JACK O'DEA

SANTA ROSA, CA
NPI1548934110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-08-05
Last Update Date2021-08-06
Business Address
JACK O'DEA
2447 SUMMERFIELD RD
SANTA ROSA, CA 95405-7815
Phone number: 707-544-3299
Mailing Address
JACK O'DEA
2447 SUMMERFIELD RD
SANTA ROSA, CA 95405-7815
Phone number: 707-544-3299