JAY THOMAS THETFORD

SYLMAR, CA
NPI1689161192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A165159)
Enumeration Date2018-04-19
Last Update Date2021-08-16
Business Address
JAY THOMAS THETFORD MD
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1438
Phone number: 760-902-3289
Mailing Address
JAY THOMAS THETFORD MD
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1437
Phone number: