JEFFERSON P DORMAN

OAKLAND, CA
NPI1770960551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  633609)
Enumeration Date2015-04-30
Last Update Date2015-04-30
Business Address
-- JEFFERSON P DORMAN
2620 26TH AVE
OAKLAND, CA 94601-1907
Phone number: 510-437-2363
Mailing Address
-- JEFFERSON P DORMAN
2620 26TH AVE
OAKLAND, CA 94601-1907
Phone number: 510-437-2363