Individual
JENNIFER CHURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
795 FOLSOM ST, SAN FRANCISCO, CA 94107-1243
(772) 675-9100
Mailing address
9 GREGORY CT, PETALUMA, CA 94954-4680
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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