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Jennie Lynfred Logue

Chiropractor, Independent Medical Examiner in Los Angeles, CA. Individual provider (NPI-1).

NPI number1982114476
StatusActive
Last updated in NPPESOct 10, 2017

Details

NPI
1982114476
Entity type
Individual (NPI-1)
Name
Jennie Lynfred Logue
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 10, 2017
Last updated
Oct 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NI0013X Chiropractor, Independent Medical Examiner20293CAYes

Practice location

3868 S Centinela Ave Apt 12
Los Angeles, CA 90066-4459

Phone 818-619-4041

Mailing address

3868 S Centinela Ave Apt 12
Los Angeles, CA 90066-4459

Phone 818-619-4041

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