Provider Demographics
NPI:1811135031
Name:FRANCISCO, JENNIFER REYES (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:REYES
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4448 EAGLE ROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-3512
Mailing Address - Country:US
Mailing Address - Phone:323-256-8644
Mailing Address - Fax:323-256-8677
Practice Address - Street 1:4448 EAGLE ROCK BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-3512
Practice Address - Country:US
Practice Address - Phone:323-256-8644
Practice Address - Fax:323-256-8677
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor