Individual
JENNIFER RENEE LUMMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3614 CONDO COURT, SANTA ROSA, CA 95403
(707) 360-1913
(707) 360-1923
Mailing address
639 AVALON AVE, SANTA ROSA, CA 95407-7224
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
06/16/2025
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