Individual
JENNIFER MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1560 E CHEVY CHASE DR STE 430, GLENDALE, CA 91206-4140
(818) 243-1135
Mailing address
1127 PRINCETON DR, GLENDALE, CA 91205-3628
(415) 509-8495
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA55650
CA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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