Individual
JENNY WYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD
Contact information
Practice address
1311 CALABRIA ST, SANTEE, CA 92071-5659
(915) 490-6486
Mailing address
1311 CALABRIA ST, SANTEE, CA 92071-5659
(915) 490-6486
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
4-202319
GA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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