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Individual

DR. JENNIFER C. LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1661 SOQUEL DR, BLDG G, SANTA CRUZ, CA 95065-1709
(831) 476-1542
(831) 476-8977
Mailing address
665 MUNRAS AVE, STE 109, MONTEREY, CA 93940-3136
(831) 476-1542
(831) 476-8977

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A104698
CA
2085R0202X
Diagnostic Radiology Physician
M5816
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194935932
CA
Enumeration date
05/23/2007
Last updated
03/30/2018
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