Individual
JESSICA CARMEN MECKLOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 16TH ST FL 4, SAN FRANCISCO, CA 94143-2549
(415) 476-5001
Mailing address
550 16TH ST FL 4, SAN FRANCISCO, CA 94143-2549
(415) 476-5001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13315
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
01/03/2025
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