Individual
JENNIFER JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
691 SPARTA DR, ENCINITAS, CA 92024-1821
(760) 944-2976
(760) 944-1460
Mailing address
691 SPARTA DR, ENCINITAS, CA 92024-1821
(760) 944-2976
(760) 944-1460
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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