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Individual
JENNIFER LOUISE LALLO
Active
Individual
JENNIFER LOUISE LALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
797429
CA
363L00000X
Nurse Practitioner
Primary
23124
CA
363LF0000X
Family Nurse Practitioner
23124
CA
Other
Enumeration date
07/25/2013
Last updated
02/02/2021
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