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Ciaran Jacka Dpm Inc
Podiatric Clinic/Center in San Pablo, California
NPI 1699496927

Ciaran Jacka Dpm Inc is a Podiatric Clinic/Center based in Berkeley, CA and is specialized in Podiatric. Ciaran Jacka Dpm Inc practices in San Pablo, CA. The NPI Number for Ciaran Jacka Dpm Inc is 1699496927 and holds a License No. (California).

The current practice location address for Ciaran Jacka Dpm Inc is 2089 Vale Rd Ste 12, San Pablo, CA and can be reached out via phone at 510-232-0892 and via fax at 510-234-5951.

Location: 2089 Vale Rd Ste 12, San Pablo, CA, 94702-2713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699496927
Provider Name
Ciaran Jacka Dpm Inc
Credential
Provider Entity Type
Organization
Address
2089 Vale Rd Ste 12, San Pablo, CA, 94702-2713
Phone Number
510-232-0892
Fax Number
510-234-5951
Provider Enumeration Date
09/06/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2089 Vale Rd Ste 12
City
San Pablo
State
California
Zip
94806-3848
Phone Number
510-232-0892
Fax Number
510-234-5951
person
Provider Business Mailing Address Details
Address
2089 Vale Rd Ste 12
City
San Pablo
State
California
Zip
94806-3848
Phone Number
510-232-0892
Fax Number
510-234-5951
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
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Definition
Definition to come...
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