JENIVI LAU

MISSION VIEJO, CA
NPI1578897591
Former NameJENIVI MARUCUT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  21199)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CT  2293)
Enumeration Date2009-09-23
Last Update Date2015-05-13
Business Address
-- JENIVI LAU PA-C
26732 CROWN VALLEY PKWY #351
MISSION VIEJO, CA 92691-6306
Phone number: 949-364-1007
Mailing Address
-- JENIVI LAU PA-C
26732 CROWN VALLEY PKWY #351
MISSION VIEJO, CA 92691-6306
Phone number: