Individual
DR. JACQUELINE GREY ETEMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 VENADO DR, TIBURON, CA 94920-1634
(415) 435-2776
(415) 435-9415
Mailing address
15 VENADO DR, TIBURON, CA 94920-1634
(415) 435-2776
(415) 435-9415
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A21746
CA
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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