Individual
DR. JENNY E. JACQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 LENNON LN, WALNUT CREEK, CA 94598-2419
(925) 906-2395
Mailing address
320 LENNON LN, WALNUT CREEK, CA 94598-2419
(925) 906-2395
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A93018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A930180
—
CA
Enumeration date
05/23/2006
Last updated
01/10/2022
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