Individual
JERRY CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 PORTOFINO LN, FOSTER CITY, CA 94404-2938
(650) 839-3749
Mailing address
650 PORTOFINO LN, FOSTER CITY, CA 94404-2938
(650) 839-3749
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
33261
CA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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