Individual
DR. JACLYN TENNILLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, MAIL CODE 8402, SAN DIEGO, CA 92103-9001
(619) 543-6222
Mailing address
200 W ARBOR DR, MAIL CODE 8402, SAN DIEGO, CA 92103-9001
(619) 543-6222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A94852
CA
Other
Enumeration date
06/18/2008
Last updated
10/16/2021
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