Individual
STEPHANIE J. JENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,N.P.
Contact information
Practice address
19191 S VERMONT AVE, TORRANCE, CA 90502-1018
(310) 354-4346
Mailing address
7129 VIA DICHA, LA VERNE, CA 91750
(626) 327-3169
(909) 596-2752
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP 18240
CA
Other
Enumeration date
08/25/2008
Last updated
01/15/2013
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