Individual provider · NPI-1

Jennifer Lynn Burley

Technician, Other · San Leandro, CA

NPI number1801045224
StatusActive
Last updated in NPPESSep 9, 2008

Details

NPI
1801045224
Entity type
Individual (NPI-1)
Name
Jennifer Lynn Burley
Sex
Female
Sole proprietor
No
Enumeration date
Sep 9, 2008
Last updated
Sep 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

2050 Fairmont Dr
San Leandro, CA 94578-1001

Phone 510-483-3030

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

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Other Technician, Other providers in San Leandro, CA