Individual
JENY DOMINGO CLAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
8279 FIELDPOPPY CIR, SACRAMENTO, CA 95828-4906
(408) 420-4769
Mailing address
8279 FIELDPOPPY CIR, SACRAMENTO, CA 95828-4906
(408) 420-4769
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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