Individual
JENISE KAYLENE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4860 Y ST STE 2500, SACRAMENTO, CA 95817-2307
(916) 734-6978
(916) 734-6666
Mailing address
4860 Y ST STE 2500, SACRAMENTO, CA 95817-2307
(916) 734-6978
(916) 734-6666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A122635
CA
Other
Enumeration date
06/20/2011
Last updated
09/28/2016
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