Individual provider · Type 1 NPI

Dimitria Elise Jackson

Specialist · Oakland, CA

NPI number 1679758478 Active

Practice location

6955 Foothill Blvd., Suite 300
Oakland, CA 94605-2421

Call (510) 577-1906 Map

Fax (510) 577-5618

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1679758478

Dimitria Elise Jackson's National Provider Identifier is 1679758478, issued on Dec 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oakland, CA. The record was last updated on Dec 31, 2007.