Individual
JEANETTE COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 INDEPENDENCE CIR, CHICO, CA 95973-0381
(530) 345-1600
(530) 345-1685
Mailing address
10 INDEPENDENCE CIR, CHICO, CA 95973-0381
(530) 345-1600
(530) 345-1685
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-098-4601
MEDI-CAL
CA
Enumeration date
04/07/2017
Last updated
04/07/2017
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