Individual
MRS. JENNIFER REBOLLIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2000
Mailing address
253 OAKCREST AVE, SOUTH SAN FRANCISCO, CA 94080-1356
(650) 219-1690
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
21194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W712488
KAISER
CA
Enumeration date
12/19/2018
Last updated
12/19/2018
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