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Contact Information

JENNESE BACON
10932 CASIMIR AVE
INGLEWOOD, CA90303
 Phone: 323-807-6945
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Doula

374J00000X
Indicates primary specialty

NPI Profile & details for JENNESE BACON · (Female)

NPI # 1972085983
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2018
Last updated 12/10/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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