Individual
JENNA ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 648-9701
Mailing address
139 CORTLAND AVE, SAN FRANCISCO, CA 94110-5557
(248) 229-3617
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A185990
CA
Other
Enumeration date
04/24/2019
Last updated
09/15/2023
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