Individual
JENNIFER NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11783 TULIP CT, FOUNTAIN VALLEY, CA 92708-1231
(714) 962-1356
Mailing address
11783 TULIP CT, FOUNTAIN VALLEY, CA 92708-1231
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
754673
CA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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