Individual
JENNY IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1400 N HARBOR BLVD STE 120, FULLERTON, CA 92835-4110
(714) 773-7000
Mailing address
3683 S BEAR ST UNIT J, SANTA ANA, CA 92704-8240
(602) 770-3457
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND1305
CA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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