JENNIFER LAUREN LANE

SIMI VALLEY, CA
NPI1245776244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  54157)
Enumeration Date2017-01-13
Last Update Date2018-02-15
Business Address
MRS. JENNIFER LAUREN LANE PA
2876 SYCAMORE DR
SIMI VALLEY, CA 93065-1530
Phone number: 805-527-6424
Mailing Address
MRS. JENNIFER LAUREN LANE PA
20516 GERMAIN ST
CHATSWORTH, CA 91311-2417
Phone number: 951-750-9051
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