| NPI | 1699091694 |
|---|---|
| Other Name | JEANNINE LAVONNE DANDRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 48018) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LAC21081) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: AZ 48018) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2025-08-27 |