Individual
FAYE MICHELLE JAHNIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RHT
Contact information
Practice address
1080 EMELINE AVENUE, SANTA CRUZ, CA 95060-1966
(831) 454-4100
(831) 454-4296
Mailing address
1080 EMELINE AVENUE, CLINIC ADMIN, SANTA CRUZ, CA 95060-1966
(831) 454-4587
(831) 454-4893
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHT47210
CA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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