Individual
MR. JASEN A MCKENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80150 US HIGHWAY 111, SUITE C2, INDIO, CA 92201-8359
(760) 863-5900
(760) 863-5912
Mailing address
44630 MONTEREY AVE, PALM DESERT, CA 92260-3326
(760) 863-5900
(760) 863-5912
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA4122
CA
Other
Enumeration date
02/17/2012
Last updated
08/09/2012
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