Lola Aline Jenks

NPI #1538802764 in Santa Paula, California

Provider Information

NPI Number: 1538802764
Entity Type: Individual
Name: Lola Aline Jenks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Apr 15, 2022
Last Updated: Apr 15, 2022

Practice Location

Address: 811 W TELEGRAPH RD
City: Santa Paula
State: California
ZIP Code: 93060-5400
Phone: (805) 265-4894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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