Jessica Natasha Antwine
Individual provider Active NPI Chore Provider · Lafayette, CA
NPI 1992576045 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1992576045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chore Provider 372500000X
- Practice address
- 412 Vienx Orleans Circle Apt C
Lafayette, CA 70508 - Phone
- (337) 443-3323
- NPI assigned
- Jan 9, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Yes |
Addresses
Primary practice location
412 Vienx Orleans Circle Apt C
Lafayette, CA 70508
Mailing address
412 Vienx Orleans Circle Apt C
Lafayette, CA 70508
Phone (337) 443-3323
Other providers in Lafayette, CA
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- Gabriela Maria Antezana
- Cole Arabian
- Aratow and Colleagues MD PC
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- Anuja Arora
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All providers in Lafayette, CA · Chore Provider in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.