Individual
JENNIFER LEE GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1065 BUCKS LAKE RD, QUINCY, CA 95971-9507
(530) 283-2121
(530) 283-3151
Mailing address
1990 N CALIFORNIA BLVD, SUITE 400, WALNUT CREEK, CA 94596-3742
(925) 225-5837
(925) 482-2834
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
G60792
CA
207P00000X
Emergency Medicine Physician
Primary
G60792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G607920
—
CA
05
—
CA644Z
—
CA
Enumeration date
08/07/2006
Last updated
09/24/2014
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