| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jerome Anthony Robson | [sources] | |||
| Alias | Robeson, Jerome | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Jerome | [sources] | |||
| Last name | Robson | [sources] | |||
| Middle name | Anthony | [sources] | |||
| NPI | 1386677417 | [sources] | |||
| Registration number | 00G27360 · CGP132205 · G32736 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 500 Coffee Road, Suite E, Modesto, CA, 95355 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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