Provider Demographics
NPI:1194572453
Name:VALENCIA ROOT, JENNY (ND)
Entity type:Individual
Prefix:DR
First Name:JENNY
Middle Name:
Last Name:VALENCIA ROOT
Suffix:
Gender:
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 WESTCLIFFE CIR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3208
Mailing Address - Country:US
Mailing Address - Phone:201-914-6553
Mailing Address - Fax:
Practice Address - Street 1:373 WESTCLIFFE CIR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3208
Practice Address - Country:US
Practice Address - Phone:201-914-6553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1497175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty