Jefferson, Renae

Jefferson, Renae is an individual health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Jefferson, Renae can be contacted via phone (209) 468-2343.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-2343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-PWOO12 California

Profile Details

NPI number 1992104590
LBN Legal business name Jefferson, Renae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2014
Last updated Nov 6th, 2024 - about 2 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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