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Mrs. Jeanni Clancey Lang
Orthotic Fitter in San Rafael, California
NPI 1356469985

Jeanni Clancey Lang is a Orthotic Fitter based in Fiarfax, CA. Jeanni Clancey Lang practices in San Rafael, CA. The NPI Number for Jeanni Clancey Lang is 1356469985 and holds a License No. (California).

The current practice location address for Jeanni Clancey Lang is 612 D St, San Rafael, CA and can be reached out via phone at 415-454-6058 and via fax at 415-454-6078.

Location: 612 D St, San Rafael, CA, 94978-0478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356469985
Provider Name
Jeanni Clancey Lang
Credential
Provider Entity Type
Individual
Gender
Female
Address
612 D St, San Rafael, CA, 94978-0478
Phone Number
415-454-6058
Fax Number
415-454-6078
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CFM00640 01 CA ABC
institution
Provider Business Practice Location Address Details
Address
612 D St
City
San Rafael
State
California
Zip
94901
Phone Number
415-454-6058
Fax Number
415-454-6078
person
Provider Business Mailing Address Details
Address
612 D St
City
San Rafael
State
California
Zip
94901
Phone Number
415-454-6058
Fax Number
415-454-6078
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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