Individual
JENNIFER LYNN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
623 VERNON ST, ROSEVILLE, CA 95678-3297
(530) 718-4723
Mailing address
623 VERNON ST, ROSEVILLE, CA 95678-3297
(530) 718-4723
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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