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1891903365
JENNY VIDAL JENNINGS
SAN PABLO, CA
NPI
1891903365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Ms. JENNY VIDAL JENNINGS RAS
2523 EL PORTAL DR
SAN PABLO, CA 94806
Phone number: 510-374-3336
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Mailing Address
Ms. JENNY VIDAL JENNINGS RAS
PO BOX 1124
BETHEL ISLAND, CA 94511-1324
Phone number: 510-374-3336
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