Individual
JENIKA AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20095 PASEO MONTANA, MURRIETA, CA 92562-8823
(951) 797-7369
Mailing address
20095 PASEO MONTANA, MURRIETA, CA 92562-8823
(951) 797-7369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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