Provider Demographics
NPI:1326485616
Name:ANGEL, JENEE CHRISTINE
Entity Type:Individual
Prefix:
First Name:JENEE
Middle Name:CHRISTINE
Last Name:ANGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENEE
Other - Middle Name:CHRISTINE
Other - Last Name:FINOCCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8255 VINEYARD AVE APT 1000H
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7182
Mailing Address - Country:US
Mailing Address - Phone:949-470-1553
Mailing Address - Fax:
Practice Address - Street 1:8255 VINEYARD AVE APT 1000H
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-7182
Practice Address - Country:US
Practice Address - Phone:949-470-1553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator