person
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. You can also correspond with Jeanni Clancey Lang through the mailing address at PO BOX 478, FIARFAX, CA - 94978-0478 (mailing address contact number: 415-454-6058).

Location: 612 D St, San Rafael, CA, 94978-0478
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
State
Zip
94901
Phone Number
415-454-6058
Fax Number
415-454-6078
person
Provider Business Mailing Address Details
Address
612 D St
City
State
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
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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