Individual
JENNIFER ELIZABETH REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVE BLDG 5, SAN FRANCISCO, CA 94110-3518
(628) 206-8000
(415) 206-5484
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A167857
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/01/2015
Last updated
07/15/2021
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