Individual
JENNIFER GENOVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 EMERALD ST APT 3, SAN DIEGO, CA 92109-2835
(916) 952-5366
Mailing address
1026 EMERALD ST APT 3, SAN DIEGO, CA 92109-2835
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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