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Individual

MISS JENNA STAR SOLIMINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NTP

Contact information

Practice address
1174 RUTLEDGE WAY, STOCKTON, CA 95207-3623
(209) 401-6585
Mailing address
1174 RUTLEDGE WAY, STOCKTON, CA 95207-3623
(209) 401-6585

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
CA

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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