JODY B LAURENCE

ROSEVILLE, CA
NPI1972685378
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: CA  E4155)
Enumeration Date2006-10-19
Last Update Date2016-08-01
Business Address
-- JODY B LAURENCE DPM
5 MEDICAL PLAZA DR STE 110
ROSEVILLE, CA 95661-2866
Phone number: 916-483-1493
Mailing Address
-- JODY B LAURENCE DPM
PO BOX 2033
FOLSOM, CA 95763-2033
Phone number: 916-483-1493
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