JOHN JAMES JACISIN

MODESTO, CA
NPI1942301114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  C39509)
Enumeration Date2006-09-26
Last Update Date2013-09-03
Business Address
-- JOHN JAMES JACISIN M.D.
3425 COFFEE RD SUITE 2A
MODESTO, CA 95355-1582
Phone number: 209-524-9401
Mailing Address
-- JOHN JAMES JACISIN M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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