Individual
MR. ANTHONY JOHN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4600 BROADWAY, SUITE 1300, SAC, CA 95820
(916) 874-9696
Mailing address
2820 F STREET, SAC, CA 95816-3718
(916) 447-7863
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN499271
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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