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1407674799
JENNAKA TISCORNIA
FAIRFIELD, CA
NPI
1407674799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
JENNAKA TISCORNIA
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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Mailing Address
JENNAKA TISCORNIA
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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