Provider Demographics
NPI:1366206831
Name:JHANJAR, ALEASHA (MS)
Entity type:Individual
Prefix:
First Name:ALEASHA
Middle Name:
Last Name:JHANJAR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 N MEDICAL CENTER DR W OFC 2137
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6878
Mailing Address - Country:US
Mailing Address - Phone:559-392-3285
Mailing Address - Fax:
Practice Address - Street 1:785 N MEDICAL CENTER DR W OFC 2137
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6878
Practice Address - Country:US
Practice Address - Phone:559-392-3285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC001780170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS