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Individual

JANICE W GILLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
901 CAMPUS DR, DALY CITY, CA 94015-4900
(650) 652-8720
Mailing address
577 AIRPORT BLVD, SUITE 300, BURLINGAME, CA 94010-2048
(650) 240-8198

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G51007
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0081920
CA
Enumeration date
11/29/2006
Last updated
09/18/2015
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