Individual
JENNY MENDEZ BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 S ELISEO DR STE 130, GREENBRAE, CA 94904-2011
(415) 925-7450
Mailing address
1350 S ELISEO DR STE 130, GREENBRAE, CA 94904-2011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95010891
CA
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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