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Search › California › 175T00000X

Larry Jean

NPI 1790127728 · on the registry since 2013 · sole proprietor

Practice

Address
3230 Kerner Blvd
San Rafael, CA 94901
Phone
(415) 847-3209
Organisation at this address
County Of Marin
County Of Marin
Community Action Marin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California