LARRY ALLEN JEAN

SAN RAFAEL, CA
NPI1790127728
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2013-07-18
Last Update Date2023-04-12
Business Address
LARRY ALLEN JEAN
3230 KERNER BLVD
SAN RAFAEL, CA 94901-4840
Phone number: 415-847-3209
Mailing Address
LARRY ALLEN JEAN
36D OLIVA DR
NOVATO, CA 94947-2123
Phone number: 415-450-0105
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