Individual
JENNA DANIELLE GASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1907
(530) 634-4898
Mailing address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1907
(530) 634-4898
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
01/19/2011
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