Individual provider · NPI-1

Jazzminn Danielle Henry

Student in an Organized Health Care Education/Training Program · Moorpark, CA

NPI number1376952903
StatusActive
Last updated in NPPESAug 7, 2014

Details

NPI
1376952903
Entity type
Individual (NPI-1)
Name
Jazzminn Danielle Henry
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2014
Last updated
Aug 7, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

30 Flory Ave
Moorpark, CA 93021-1815

Phone 805-981-4221

Mailing address

30 Flory Ave
Moorpark, CA 93021-1815

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