Individual
MR. MOSE ALPHONSO JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2425 GEARY BLVD, SAN FRANCISCO, CA 94115-3358
(415) 833-3800
Mailing address
91 SEAGULL DR, RICHMOND, CA 94804-7408
(510) 233-0058
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 12212
CA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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