Jenna Kate Michaelis
NPI #1518581669 in Poway, California
Provider Information
- NPI Number
- 1518581669
- Entity Type
- Individual
- Name
- Jenna Kate Michaelis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 4, 2020
- Last Updated
- Jun 4, 2020
Practice Location
- Address
- 14646 DASH WAY
- City
- Poway
- State
- California
- ZIP Code
- 92064-2912
- Phone
- (530) 400-5254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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