Individual
LINE GHISLAINE JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 PARNASSUS, A-808, UCSF NEUROSURGERY CLINIC, SAN FRANCISCO, CA 94143
(415) 353-7500
(415) 353-2889
Mailing address
505 PARNASSUS AVENUE BOX 0112, UCSF NEUROSURGERY, SAN FRANCISCO, CA 94143
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
131709
CA
Other
Enumeration date
09/22/2014
Last updated
10/19/2017
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