| NPI | 1932545423 |
|---|---|
| Professional Name | JERRY TREJO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 65347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 324744) |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2024-02-29 |