Individual
JILL JENKINS MANCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2439 WHITMAN WAY, SAN BRUNO, CA 94066-3852
(650) 872-9449
Mailing address
2439 WHITMAN WAY, SAN BRUNO, CA 94066-3852
(650) 872-9449
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
352100
CA
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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