Provider Demographics
NPI:1790985281
Name:FERRO, JENNIFER MARIE (LAC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:FERRO
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 1:3801 LAS POSAS RD STE 114
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1477
Mailing Address - Country:US
Mailing Address - Phone:805-482-0723
Mailing Address - Fax:805-482-9749
Practice Address - Street 1:3801 LAS POSAS RD STE 114
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1477
Practice Address - Country:US
Practice Address - Phone:805-482-9749
Practice Address - Fax:805-482-9749
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10888171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist