MR. JEZREEL SUPETRAN
Social Worker - Clinical
Active
Individual
NPI: 1629301213
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 61376 (CA) |
Frequently Asked Questions
NPI 1629301213 is the National Provider Identifier for MR. JEZREEL SUPETRAN, a Social Worker - Clinical provider located in Alhambra, CA. This NPI was enumerated on September 14, 2009.
MR. JEZREEL SUPETRAN practices at 1000 S FREMONT AVE BLDG A9, Alhambra, CA 91803.
Quick Facts
- NPI
- 1629301213
- Type
- Individual
- Enumerated
- Sep 14, 2009
- Last Updated
- Feb 6, 2026
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