Individual
JENNIFFER ANN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2914 COLD SPRINGS RD STE B, PLACERVILLE, CA 95667-4237
(530) 626-9240
(530) 626-8992
Mailing address
2914 COLD SPRINGS RD STE B, PLACERVILLE, CA 95667-4237
(530) 626-9240
(530) 626-8992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9943
CA
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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