Jenna Dilig
Pharmacist in Stockton, CA. Individual provider (NPI-1).
NPI number1275129462
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1275129462
- Entity type
- Individual (NPI-1)
- Name
- Jenna Dilig
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2020
- Certification date
- Mar 10, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 83940 | CA | Yes |
Practice location
6632 Pacific AveStockton, CA 95207-3720
Phone 209-951-6544
Mailing address
Po Box 627Tracy, CA 95378-0627
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