Individual
JENNIFER MINAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1686 BARTON RD, REDLANDS, CA 92373
(909) 558-9500
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
262940
NY
2084P0800X
Psychiatry Physician
Primary
C157396
CA
Other
Enumeration date
05/24/2010
Last updated
10/26/2018
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