Individual
JENNIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 S JUNIPER ST, ESCONDIDO, CA 92025-6644
(253) 209-0413
Mailing address
2151 S JUNIPER ST, ESCONDIDO, CA 92025-6644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14265
CA
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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