Individual
JENNIE AUFHAUSER
Active
Individual
JENNIE AUFHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA19475
CA
363AM0700X
Medical Physician Assistant
PA19475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19475
LICENSE NUMBER
CA
Enumeration date
12/17/2007
Last updated
10/25/2021
Update your record
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