# JESSIE DAKOTA BJELLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235756933
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | RL16713 | ND | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | A185102 | CA | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | RL16713 | ND | — |

## Other

- **Enumeration date:** 06/29/2020
- **Last updated:** 11/01/2024
