Individual
JEANETTE ANN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 W AVENUE L STE 109, LANCASTER, CA 93534-7207
(661) 902-1793
Mailing address
1741 LANDSFORD ST, LANCASTER, CA 93535-1150
(661) 917-5322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9516
CA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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