Individual
JEFFREY LAURENCE MCMENAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5855 STREAMVIEW DR, SAN DIEGO, CA 92105-3910
(619) 287-5460
Mailing address
13041 BONITA VISTA ST, POWAY, CA 92064-5719
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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