Individual
LJ JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7272 MACARTHUR BLVD, OAKLAND, CA 94605-2533
(510) 562-1212
(510) 562-1220
Mailing address
7272 MACARTHUR BLVD, OAKLAND, CA 94605-2533
(510) 562-1212
(510) 562-1220
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N8996714
CA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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