Individual
JANEEN NICOLE GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(619) 532-6559
Mailing address
236 VETERANS LN, LEESVILLE, LA 71446-2547
(337) 509-7518
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2021
Last updated
01/15/2022
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