person
Ms. Dimitria Elise Jackson
Specialist in Oakland, California
NPI 1679758478

Dimitria Elise Jackson is a Specialist based in Oakland, CA. Dimitria Elise Jackson practices in Oakland, CA. The NPI Number for Dimitria Elise Jackson is 1679758478 and holds a License No. (California).

The current practice location address for Dimitria Elise Jackson is 6955 Foothill Blvd., Oakland, CA and can be reached out via phone at 510-577-1906 and via fax at 510-577-5618.

Location: 6955 Foothill Blvd., Oakland, CA, 94605-2421
person
Provider Profile Details
NPI Number
1679758478
Provider Name
Dimitria Elise Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6955 Foothill Blvd., Oakland, CA, 94605-2421
Phone Number
510-577-1906
Fax Number
510-577-5618
Provider Enumeration Date
12/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6955 Foothill Blvd.
City
State
Zip
94605-2421
Phone Number
510-577-1906
Fax Number
510-577-5618
person
Provider Business Mailing Address Details
Address
6955 Foothill Blvd.
City
State
Zip
94605-2421
Phone Number
510-577-1906
Fax Number
510-577-5618
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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