Jergentz-Stout, Marjorie Ann

Jergentz-Stout, Marjorie Ann is an individual health care provider with primary practice located at 3801 Miranda Ave (11K Pad), Palo Alto CA 94304-1207. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Jergentz-Stout, Marjorie Ann can be contacted via phone (650) 493-5000.

Contact Information

Primary practice address
3801 Miranda Ave (11K Pad) Palo Alto CA 94304-1207
Phone: (650) 493-5000
Fax: (650) 849-0265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1902994411
LBN Legal business name Jergentz-Stout, Marjorie Ann
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 17 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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