Individual
JENNIFER LYNN SCHWANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
390 NORTH LOOP RD, FT IRWIN, CA 92310
(760) 383-5289
Mailing address
390 NORTH LOOP RD, FT IRWIN, CA 92310
(760) 383-5289
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2023030352
MO
2085R0202X
Diagnostic Radiology Physician
Primary
T7030
TX
208D00000X
General Practice Physician
29288
NE
Other
Enumeration date
02/11/2014
Last updated
12/01/2023
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