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Individual

JENNIFER HAYFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
769 W BLAINE ST STE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
Mailing address
3250 PANORAMA RD APT 139, RIVERSIDE, CA 92506-1351
(951) 203-5968

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA
175T00000X
Peer Specialist

Other

Enumeration date
11/14/2016
Last updated
02/28/2023
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