Jenner, Coralie

Jenner, Coralie is an individual health care provider with primary practice located at 418 Aviation Blvd Ste D , Santa Rosa CA 95403-1074. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Jenner, Coralie can be contacted via phone (707) 486-9846.

Contact Information

Primary practice address
418 Aviation Blvd Ste D Santa Rosa CA 95403-1074
Phone: (707) 486-9846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 74620 California

Profile Details

NPI number 1962944157
LBN Legal business name Jenner, Coralie
Credentials CMT, LMT, HHP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2016
Last updated May 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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