Organization
JENNIFER HAYHURST PHYSICIAN ASSISTANT APC
Active
Other names
Radiant Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAYHURST PA-C (OWNER)
(949) 836-1262
Entity
Organization
Contact information
Practice address
1467 FORD ST STE 101, REDLANDS, CA 92373-3911
(909) 551-3376
Mailing address
700 E REDLANDS BLVD STE U342, REDLANDS, CA 92373-6109
(909) 551-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
10/12/2023
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