Search › California › 103TC0700X
Jacquelyn Gardner
NPI 1699172080 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1947 Divisadero St.
Ste. 2
San Francisco,, CA 94115 - Phone
- (415) 441-4350
- Fax
- (415) 614-1760
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-01
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