| Doctor Name: | DR. JENNIFER KELLY DAODU |
| NPI Number: | 1164607149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A101523 |
| Business Practice Address: | 1667 Dominican Way Ste 134 Santa Cruz, CA - 950651529 |
| Business Phone Number: | 8314758834 |
| Business Fax Number: | |
| Mailing Address: | 1667 Dominican Way Ste 134, SANTA CRUZ |
| State: | CA |
| Postal Code: | 950651529 |
| Phone Number: | 8314758834 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2008 |
| NPI Last Update Date: | 05/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A101523 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |