Provider Demographics
NPI:1871929455
Name:BALENSI, JEAN-MICHEL (CCMA, CPCP)
Entity type:Individual
Prefix:MR
First Name:JEAN-MICHEL
Middle Name:
Last Name:BALENSI
Suffix:
Gender:M
Credentials:CCMA, CPCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 LANDIS AVE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-2627
Mailing Address - Country:US
Mailing Address - Phone:619-476-0706
Mailing Address - Fax:
Practice Address - Street 1:280 LANDIS AVE
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2627
Practice Address - Country:US
Practice Address - Phone:619-476-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist