Individual
CONNIE JARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2299 POST ST, SUITE 107, SAN FRANCISCO, CA 94115-3441
(415) 345-9400
(415) 345-8049
Mailing address
2299 POST ST, SUITE 107, SAN FRANCISCO, CA 94115-3441
(415) 345-9400
(415) 345-8049
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
12496
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12496
PHYSICIAN ASSISTANT NUMBE
CA
Enumeration date
01/16/2007
Last updated
07/08/2007
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