Provider Demographics
NPI:1659663649
Name:CONLIN, JENNIFER (L AC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CONLIN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1209 ESPLANADE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3397
Mailing Address - Country:US
Mailing Address - Phone:530-342-2895
Mailing Address - Fax:530-342-8105
Practice Address - Street 1:1209 ESPLANADE
Practice Address - Street 2:SUITE #1
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3397
Practice Address - Country:US
Practice Address - Phone:530-342-2895
Practice Address - Fax:530-342-8105
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA14305171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist