Provider Demographics
NPI:1225852270
Name:ANDLEIGH, JENNIFER CHEN
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHEN
Last Name:ANDLEIGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4471 GARNET LN
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4857
Mailing Address - Country:US
Mailing Address - Phone:737-288-9796
Mailing Address - Fax:
Practice Address - Street 1:4471 GARNET LN
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4857
Practice Address - Country:US
Practice Address - Phone:737-288-9796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter