Provider Demographics
NPI:1871786947
Name:DUFOUR, JENNIFER JAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JAYNE
Last Name:DUFOUR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5940 ROSEBUD LN
Mailing Address - Street 2:#1
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-2963
Mailing Address - Country:US
Mailing Address - Phone:916-344-4590
Mailing Address - Fax:916-344-4592
Practice Address - Street 1:5940 ROSEBUD LN
Practice Address - Street 2:#1
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-2963
Practice Address - Country:US
Practice Address - Phone:916-344-4590
Practice Address - Fax:916-344-4592
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor