Individual
DR. JENNY T CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3500 FIFTH AVE STE 101, SAN DIEGO, CA 92103-5020
(619) 295-3911
(619) 295-4356
Mailing address
1654 LA MANCHA DR, SAN DIEGO, CA 92109-6727
(214) 621-7813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H9853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119108203
—
TX
Enumeration date
07/04/2006
Last updated
12/03/2024
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