Most Relevant Information
Provider Data
| NPI Number: | 1003478983 |
| Provider Name: | JONATHAN WAYNE MURRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2019 |
| Last Updated: | 10/21/2024 |
Provider Practice Location
2142 N BLYTHE AVE
FRESNO
CA
937225402
Practice Location Phone/Fax
| Phone: | 5592767680 |
| Fax: | 5592718927 |
Provider Mailing Location
4460 W SHAW AVE # 595
FRESNO
CA
937226210
Provider Mailing Phone/Fax
| Phone: | 5592773494 |
| Fax: | 5592718927 |