Individual
JESSICA ELLISON IZQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(415) 847-9420
Mailing address
223 JULIA AVENUE, MILL VALLEY, CA 94941
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
236419
CA
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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