Provider Demographics
NPI:1275344533
Name:DOLLENTE, JOVANNA
Entity type:Individual
Prefix:
First Name:JOVANNA
Middle Name:
Last Name:DOLLENTE
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 1:1233 A C NOGALES ST
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-3361
Mailing Address - Country:US
Mailing Address - Phone:760-886-3386
Mailing Address - Fax:
Practice Address - Street 1:1233 A C NOGALES ST
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231-3361
Practice Address - Country:US
Practice Address - Phone:760-886-3386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker