Individual
JENNIFER DAWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
300 BRADFORD ST, REDWOOD CITY, CA 94063-1530
(650) 363-4000
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015920
CA
Other
Enumeration date
01/29/2021
Last updated
09/04/2021
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