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Individual

JENNIFER KRASNOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 ALFRED NOBEL DR, SUITE 245, HERCULES, CA 94547-1838
(510) 741-7418
Mailing address
500 ALFRED NOBEL DR, SUITE 245, HERCULES, CA 94547-1838
(510) 741-7418

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070012650
RAILROAD MEDICARE
CA
01
943304071
BCBS
CA
Enumeration date
10/19/2006
Last updated
05/06/2008
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