Search › California › 101Y00000X
Jennifer Agis
NPI 1730318643 · on the registry since 2009 · sole proprietor
Practice
- Address
- 39275 Liberty St # D-12
Fremont, CA 94538 - Phone
- (510) 742-3904
- Fax
- (510) 742-3912
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-13
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