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NPI Code Detail

MEDICARE: DR. JENNY PROENZA DC

MEDICARE:  DR. JENNY  PROENZA  DC
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
1111N00000XChiropractorDC31218CA

General Provider Information

NPI Number : 1497980395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNY PROENZA DC
Provider Business Mailing Address
First Line : 284 29TH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94131-2407
Country : US
Telephone Number : 415-648-6481
Fax Number : 415-648-6498
Provider Business Practice Location Address
First Line : 284 29TH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94131-2407
Country : US
Telephone Number : 415-648-6481
Fax Number : 415-648-6498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2009
Last Update Date : 07/21/2010

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Directions to “ DR. JENNY PROENZA DC” Practice Location

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