Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | PT17964 | CA |
NPI | 1649304171 |
---|---|
Provider Name | Ms. Jodi Lynette Schreiner |
First Address | Fresno, CA 93720-8009 |
Second Address | Fresno, CA 93720-8009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 11/08/2008 |