JENNIFER BARDALES

VACAVILLE, CA
NPI1669727426
Former NameJENNIFER RUNYON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54363)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: PA  MA057314)
363L00000X Nurse Practitioner
(Licence: MD  C0004793)
Enumeration Date2012-07-18
Last Update Date2018-02-06
Business Address
JENNIFER BARDALES PA-C
292 ALAMO DR 2
VACAVILLE, CA 95688-4243
Phone number: 707-448-2218
Mailing Address
JENNIFER BARDALES PA-C
PO BOX 2894
SAN RAMON, CA 94583-7894
Phone number: