LARRY JEAN
Peer Specialist
Active
Individual
NPI: 1790127728
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | No | - |
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1790127728 is the National Provider Identifier for LARRY JEAN, a Peer Specialist provider located in San Rafael, CA. This NPI was enumerated on July 18, 2013.
LARRY JEAN practices at 3230 KERNER BLVD, San Rafael, CA 94901.
Quick Facts
- NPI
- 1790127728
- Type
- Individual
- Enumerated
- Jul 18, 2013
- Last Updated
- Apr 12, 2023
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