Provider Demographics
NPI:1376728238
Name:FOX-ARMSTRONG, JENNIFER LYNN (LAC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:FOX-ARMSTRONG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:31285 TEMECULA PKWY STE 230
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6833
Mailing Address - Country:US
Mailing Address - Phone:951-751-3950
Mailing Address - Fax:951-302-0631
Practice Address - Street 1:31285 TEMECULA PKWY STE 230
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6833
Practice Address - Country:US
Practice Address - Phone:951-751-3950
Practice Address - Fax:951-302-0631
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11894171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist