Individual
JENNIFER ANN GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, CHILDRENS SHELTER, SAN JOSE, CA 95128-2604
(408) 558-5470
Mailing address
19960B SKYLINE BLVD, LOS GATOS, CA 95033-9428
(408) 399-7425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G76892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G768920
—
CA
Enumeration date
08/18/2006
Last updated
01/02/2025
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