Provider Information
Last Updated : Nov 21 2024 4:24 PM
Dawn Jantzen
City Clovis |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Jantzen |
First Name Dawn |
Address 2261 Villa Ave |
State CA |
Zip Code 93612 |
Phone (559)575-8172 |
Hours Mon - Fri 8:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM |
Gender F |
Title MED |
Physician ID 906846 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1528569571 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB41069 |
Email credentialing@plutushealthinc.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |