Provider Demographics
NPI:1407977358
Name:DOOLITTLE, JEANNETTE A (MMT)
Entity Type:Individual
Prefix:MS
First Name:JEANNETTE
Middle Name:A
Last Name:DOOLITTLE
Suffix:
Gender:F
Credentials:MMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 S HIGHWAY 49 STE B
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642-2524
Mailing Address - Country:US
Mailing Address - Phone:209-256-3380
Mailing Address - Fax:209-223-4777
Practice Address - Street 1:559B SO. STATE HIGHWAY 49
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-2524
Practice Address - Country:US
Practice Address - Phone:209-256-3380
Practice Address - Fax:209-223-4777
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist