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Individual

JAY RENNEISEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED ATTORNEY

Contact information

Practice address
1610 R ST STE 220, SACRAMENTO, CA 95811-6682
(925) 890-2700
Mailing address
1610 R ST STE 220, SACRAMENTO, CA 95811-6682
(925) 890-2700

Taxonomy

Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
173531
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
173531
STATE BAR OF CALIFORNIA
CA
Enumeration date
03/21/2025
Last updated
03/21/2025
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