Individual
JENNIFER ALCANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 W HENDERSON AVE, PORTERVILLE, CA 93257-1490
(559) 788-1200
Mailing address
1055 W HENDERSON AVE, PORTERVILLE, CA 93257-1490
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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