Most Relevant Information
Provider Data
| NPI Number: | 1003334020 |
| Provider Name: | JENNA MARTIN L.AC. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC17710 |
Most Important Dates
| Enumeration Date: | 08/30/2017 |
| Last Updated: | 08/30/2017 |
Provider Practice Location
23421 S POINTE DR STE 275
LAGUNA HILLS
CA
926531555
Practice Location Phone/Fax
| Phone: | 7143432185 |
| Fax: |
Provider Mailing Location
1444 E CHESTNUT AVE
ORANGE
CA
928673839
Provider Mailing Phone/Fax
| Phone: | 7143432185 |
| Fax: |