Search › California › 106H00000X
Jennifer Athanacio
NPI 1457172157 · on the registry since 2024
Practice
- Address
- 4210 Technology Dr
Fremont, CA 94538 - Phone
- (510) 329-2045
- Organisation at this address
- Fremont Unified School District
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California