Individual
JENIFER L PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 ESTATE ROSS STE 8, ST THOMAS, VI 00802
(340) 779-4678
Mailing address
2189 LATHAM ST, SIMI VALLEY, CA 93065
(805) 587-3378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012969
CO
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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