Crisostomo-Jaque, Jerilyn V
Crisostomo-Jaque, Jerilyn V is an individual health care provider with primary practice located at 612 W 11Th St Ste 109 , Tracy CA 95376-3858. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crisostomo-Jaque, Jerilyn V can be contacted via phone (209) 834-2314.Contact Information
Primary practice address
612 W 11Th St Ste 109
Tracy CA 95376-3858
Phone: (209) 834-2314
Fax: (209) 834-2176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT29460 | California |
Profile Details
| NPI number | 1184710782 |
|---|---|
| LBN Legal business name | Crisostomo-Jaque, Jerilyn V |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jan 3rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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