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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIE LISETTE EDEZA

Active

JENNIE LISETTE EDEZA is a Day Training/Habilitation healthcare provider located in RIVERSIDE, California. NPI 1962092593 is currently active in the NPPES registry. Verify at CMS.

Day Training/Habilitation · RIVERSIDE, CA

Registration Details

NPI Number
1962092593
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2021 (5.5894030216116 yrs)
Last Updated
Jul 25, 2025

Practice Information

Address
2020 IOWA AVE STE 101
RIVERSIDE, CA, 925077428
Browse CA providers · Browse ZIP 92507
Phone
9512914309
Primary Specialty
Day Training/Habilitation
373H00000X

Other Day Training/Habilitation Providers in RIVERSIDE, CA

Name Credential NPI
VANESSA JANETTE CHARLES 1689983041
VICTOR TAMAYO 1841660669
GABRIELA AMAYA 1407201726
MICHELLE UZOWURU 1952837593
JOSHUA BOLEN 1821673096
JENNIFER SANCHEZ MS 1154049245
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.