Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1215580634 |
---|---|
Provider Name | Jennifer Abril Paredes Pamatz |
First Address | Yuba City, CA 95993-8979 |
Second Address | Yuba City, CA 95993-8979 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2019 |
Last Update Date | 24/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
91431257D64352 | (05) | CA |