Search › California › 332B00000X
Jenna Michaelis
NPI 1518581669 · on the registry since 2020 · sole proprietor
Practice
- Address
- 14646 Dash Way
Poway, CA 92064 - Phone
- (530) 400-5254
- Organisation at this address
- Direct Care
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Sex
- Female
- Record last updated
- 2020-06-04
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