SearchCalifornia103K00000X

Jenna Mcgowan

NPI 1093180549 · on the registry since 2015 · sole proprietor

Practice

Address
932 9th St
Santa Monica, CA 90403
Phone
(781) 603-5256

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California