Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A108427 | CA |
NPI | 1134145394 |
---|---|
Provider Name | Valerie Chen Jerdee |
First Address | Walnut Creek, CA 94598-2452 |
Second Address | Menlo Park, CA 94025-4260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 14/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I63218 | (02) |