Individual
EILEEN JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8170 LAGUNA BLVD STE 210, ELK GROVE, CA 95758-7902
(916) 691-5999
Mailing address
7612 CHAPPELLE WAY, ELK GROVE, CA 95757-1691
(732) 877-4704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A179414
CA
Other
Enumeration date
04/09/2019
Last updated
03/09/2023
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