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Individual
DR. JANE DIANE MCCLENAHAN
Active
Individual
DR. JANE DIANE MCCLENAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G57808
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
G57808
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G578080
—
CA
01
—
G57808
MED LICENSE
CA
Enumeration date
07/14/2006
Last updated
05/03/2019
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