Individual
MRS. JENNIFER ANN SOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
210735 CAMP DEL MAR, CAMP PENDLETON, CA 92055-5191
(760) 725-2194
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 725-2194
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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