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Jerry Genung
Psychiatric/Mental Health Registered Nurse in Santa Rosa, California
NPI 1013078864

Jerry Genung is a Psychiatric/Mental Health Registered Nurse based in Santa Rosa, CA and is specialized in Psychiatric/Mental Health. Jerry Genung practices in Santa Rosa, CA. The NPI Number for Jerry Genung is 1013078864 and holds a License No. 293927 (California).

The current practice location address for Jerry Genung is 3322 Chanate Rd, Santa Rosa, CA and can be reached out via phone at 707-565-4970.

Location: 3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013078864
Provider Name
Jerry Genung
Credential
Provider Entity Type
Individual
Gender
Male
Address
3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Phone Number
707-565-4970
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1708
Phone Number
707-565-4970
Fax Number
person
Provider Business Mailing Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1708
Phone Number
707-565-4970
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
293927 (California)
Definition
Definition to come...
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