Individual
MS. JENNIFER JONAE BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4570
Mailing address
11115 ETTRICK ST, OAKLAND, CA 94605-5529
(917) 375-6658
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1755
CA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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