Individual
JENSON KYA WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28906 SHINGLE CREEK LN, SHINGLETOWN, CA 96088-9658
(530) 638-1610
Mailing address
28906 SHINGLE CREEK LN, SHINGLETOWN, CA 96088-9658
(530) 638-1610
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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