Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A113917 | CA |
NPI | 1356578843 |
---|---|
Provider Name | Jane Maclean |
First Address | Mountain View, CA 94040-6203 |
Second Address | San Jose, CA 95124-4105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 30/03/2016 |