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NPI Code Detail

MEDICARE: JENNA DANIELA DURNING

MEDICARE:   JENNA DANIELA DURNING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist21611CA

General Provider Information

NPI Number : 1639011711
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA DANIELA DURNING
Provider Business Mailing Address
First Line : 630 S INDIAN HILL BLVD STE 5
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-5461
Country : US
Telephone Number : 909-451-8521
Fax Number :
Provider Business Practice Location Address
First Line : 630 S INDIAN HILL BLVD STE 5
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-5461
Country : US
Telephone Number : 909-451-8521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ JENNA DANIELA DURNING ” Practice Location

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