Individual
MS. DEONNA DONNYELL JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1385 N HAMILTON PKWY, NOVATO, CA 94949-8276
(415) 459-5843
Mailing address
690 S 37TH ST APT 1, RICHMOND, CA 94804-4279
(510) 575-1241
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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