Individual
DR. MARY C JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4501 MISSION BAY DR, #1E, SAN DIEGO, CA 92109
(858) 270-9611
(858) 270-1725
Mailing address
4501 MISSION BAY DR, #1E, SAN DIEGO, CA 92109
(858) 270-9611
(858) 270-1725
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G55908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G559081
—
CA
05
—
E60886
—
CA
Enumeration date
11/14/2006
Last updated
01/14/2011
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