Individual
JADE GRACE MILTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1692 EL CAMINO REAL, SAN CARLOS, CA 94070-5208
(650) 817-9070
(650) 817-9074
Mailing address
PO BOX 1329, SAN CARLOS, CA 94070-7329
(650) 817-9070
(650) 817-9074
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-URIYEO
CA
Other
Enumeration date
08/04/2025
Last updated
10/15/2025
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