Individual
JENNIE MARQUITTA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLT
Contact information
Practice address
8760 REDWOOD DR UNIT 141, SANTEE, CA 92071-7713
(619) 592-4539
Mailing address
8760 REDWOOD DR UNIT 141, SANTEE, CA 92071-7713
(619) 592-4539
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
300105
CA
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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