Individual
MEAGAN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7090
Mailing address
2350 W EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6201
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4744
MEDICAL LICENSE
CA
Enumeration date
09/06/2007
Last updated
12/02/2011
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