Dale Jacknow
Dale Jacknow is a Developmental - Behavioral Pediatrics Physician in San Mateo, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
101 S San Mateo Dr Ste 208San Mateo, CA 94401-3819
Phone: (650) 342-3137
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Specialties & licences
| Developmental - Behavioral Pediatrics Physician (primary) | Taxonomy 2080P0006X · Licence 657898 (CA) |
|---|
Record details
| NPI number | 1194959569 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2009 |
| Last updated in NPPES | May 13, 2009 |
| Mailing address | 101 S San Mateo Dr, Suite 208, San Mateo, CA 94401-3819 |