Individual
JILL HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 30TH STREET, SUITE 530, OAKLAND, CA 94609-3426
(510) 839-5564
(510) 839-1692
Mailing address
6857 COLTON BLVD, OAKLAND, CA 94611-1347
(510) 339-3343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A65174
CA
Other
Enumeration date
02/15/2007
Last updated
07/09/2007
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