| NPI | 1104500651 |
|---|---|
| Former Legal Business Name | JENNA MCBRIDE OD LLC |
| Entity Type | Organization |
| Authorized Contact | JENNA MCBRIDE Optometrist/Owner 408-823-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-05-30 |