Individual
JENNIFER ELIZABETH STOCKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
UHS TANG CENTER UC BERKELEY:2222 BANCROFT WAY, #4300, BERKELEY, CA 94720-4300
(510) 643-7117
(510) 642-3520
Mailing address
UHS TANG CENTER UC BERKELEY:2222 BANCROFT WAY, #4300, BERKELEY, CA 94720-4300
(510) 643-7117
(510) 642-3520
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
531804
CA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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