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JENNIFER LYNN KROGER LAC

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1639311285

Individual Registrant:
 JENNIFER LYNN KROGER LAC
Gender: F
Sole Proprietor

Location and contact information for practice:
17817 SANTIAGO BLVD  VILLA PARK, CA 92861-4133 US
Tel: 562-328-7699  Fax: 714-998-0084

Contact information for business:
17817 SANTIAGO BLVD  VILLA PARK, CA 92861-4133 US
Tel: 562-328-7699  Fax: 714-998-0084

Registration Information:
NPI: 1639311285
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
CA12952

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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