Jennifer Fountain
ActiveCalifornia license 64783
License
- Licensed by
- California Physician Assistant Board
- License number
- 64783
- Status
- Active (Current)
- First issued
- July 5, 2024
- Expires
- May 31, 2028
- License holder
- Jennifer Fountain
- Entity type
- Individual
Classifications
- Physician Assistant Physicians & Surgeons
More from the license record
- License type code
- 9501
Other California licenses under this name
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Contact
2385 Drake Hill Rd
Fortuna, CA 95540-3740
Fortuna, CA 95540-3740
Humboldt County