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Individual

JENNIFER LYN O'HERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1619 E EDINGER AVE, SANTA ANA, CA 92705-5001
(714) 542-8904
Mailing address
14322 SHADYBROOK DR, TUSTIN, CA 92780-6345
(714) 508-9042

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12411
CA

Other

Enumeration date
07/01/2006
Last updated
09/07/2023
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