Provider Demographics
NPI:1922738723
Name:PRESTON, JHERIANNE (ND)
Entity Type:Individual
Prefix:
First Name:JHERIANNE
Middle Name:
Last Name:PRESTON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 BROOKDALE LN
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28164-7807
Mailing Address - Country:US
Mailing Address - Phone:734-286-5846
Mailing Address - Fax:
Practice Address - Street 1:4190 BONITA RD STE 206
Practice Address - Street 2:
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-1340
Practice Address - Country:US
Practice Address - Phone:619-773-6330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1331175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty