Individual
CAYLIE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 HIGHCREST CT, NEWBURY PARK, CA 91320-5026
(805) 630-5273
Mailing address
538 HIGHCREST CT, NEWBURY PARK, CA 91320-5026
(805) 630-5273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000035884
CA
Other
Enumeration date
03/27/2018
Last updated
07/01/2019
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