Individual
MRS. JENNA HENNEBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 257-0600
Mailing address
208 11TH ST, SEAL BEACH, CA 90740-6477
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000013163
CA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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