Individual
MRS. JENNI LYNN THIESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
961A SUNSET DR, HOLLISTER, CA 95023-5602
(831) 635-1135
Mailing address
961A SUNSET DR, HOLLISTER, CA 95023-5602
(831) 635-1135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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