Jennifer Anne Stack
NPI #1174276125 in Ridgecrest, California
Provider Information
- NPI Number
- 1174276125
- Entity Type
- Individual
- Name
- Jennifer Anne Stack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 31, 2022
- Last Updated
- Jan 31, 2022
Practice Location
- Address
- 1400 N NORMA ST STE 133
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-2577
- Phone
- (760) 499-7406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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