Jeanni Clancey Lang

NPI 1356469985 - Orthotic Fitter - 225000000X

NPI Details
NPI 1356469985
Gender Female
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
612 D ST
SAN RAFAEL CA, 94901, US
Phone (415) 454-6058
Fax (415) 454-6078
Business Location
PO BOX 478
FIARFAX CA, 94978-0478, US
Phone (415) 454-6058
Fax (415) 454-6078
Toxanomy
Taxonomy Code 225000000X
License State
License Number
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According to our database, Mrs. Jeanni Clancey Lang NPI is 1356469985, taxonomy code is 225000000X Jeanni Clancey Lang physically located at 612 D St, San Rafael CA, 94901. NPI Number Jeanni Clancey Lang has the Individual type.

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1356469985 NPI number is provided on an as is basis without warranty of any kind. 1356469985 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanni Clancey Lang are for informational purposes only.