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Individual

MRS. JENNIFER MICHAELA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1545 N TEXAS ST STE 201, FAIRFIELD, CA 94533-5623
(510) 691-5620
(707) 818-1006
Mailing address
1545 N TEXAS ST STE 201, FAIRFIELD, CA 94533-5623
(510) 691-5620

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-02423300
CA

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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