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Individual

JENNIFER L ENSMINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6283 CLARK RD, SUITE #10, PARADISE, CA 95969-4100
(530) 877-2020
(530) 877-4641
Mailing address
6283 CLARK RD, SUITE 10, PARADISE, CA 95969-4100
(530) 877-2020
(530) 877-4641

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
47903
MN
207W00000X
Ophthalmology Physician
Primary
A102699
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107643400
MN
01
P00448265
MEDICARE RAILROAD
MN
Enumeration date
12/21/2005
Last updated
09/14/2017
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