Individual
JESSICA DAHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
3300 WEBSTER ST STE 500, OAKLAND, CA 94609-3149
(510) 465-6600
(510) 839-0806
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA22334
CA
363AS0400X
Surgical Physician Assistant
Primary
PA22334
CA
Other
Enumeration date
09/07/2012
Last updated
12/28/2021
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