JUSTIN JASON DY

MODESTO, CA
NPI1720119753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WR0006X Registered Nurse Registered Nurse First Assistant
(Licence: CA  605577)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
MR. JUSTIN JASON DY
1224 W ROSEBURG AVE A
MODESTO, CA 95350-4981
Phone number: 209-569-0150
Mailing Address
MR. JUSTIN JASON DY
1224 W ROSEBURG AVE A
MODESTO, CA 95350-4981
Phone number: 209-569-0150