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Individual

DR. JENNETTE BOAKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2425 STOCKTON BLVD, SACRAMENTO, CA 95817-2215
(916) 453-2049
(916) 453-2373
Mailing address
SHRINERS HOSPITAL FOR CHILDREN NORTHERN CALIFORNIA, DEPT. 5212, LOS ANGELES, CA 90084-5212
(813) 281-8478
(813) 281-8113

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G70017
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD211913
OR
207XP3100X
Pediatric Orthopaedic Surgery Physician
04-39813
KS
207XP3100X
Pediatric Orthopaedic Surgery Physician
G70017
CA

Other

Enumeration date
04/24/2006
Last updated
12/15/2022
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