Individual
JESSICA MARIE KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S HAM LN STE B, LODI, CA 95242-7502
(209) 244-8175
Mailing address
1510 S MILLS AVE APT 126, LODI, CA 95242-4238
(209) 244-8175
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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