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Contact Information

JERRY W HORNER II, HEALTH SERVICES TECH
599 TOMALE RD
BLDG 125 ROOM 106
PETALUMA, CA94952
 Phone: 707-765-7524
 Fax: 707-765-7495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for JERRY W HORNER II · (Male)

NPI # 1023158870
Status Active
Credentials HEALTH SERVICES TECH
Entity Individual
Enumeration date 02/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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