MS. Dimitria Elise Jackson
MS. Dimitria Elise Jackson is a Specialist in Oakland, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
6955 Foothill Blvd Ste 300Oakland, CA 94605-2421
Phone: (510) 577-1906
Fax: (510) 577-5618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1679758478 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 31, 2007 |
| Last updated in NPPES | December 31, 2007 |
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