Individual
JESSICA MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4400 KELLER AVE STE 200, OAKLAND, CA 94605-4229
(480) 467-9497
Mailing address
696 ATHOL AVE APT 105, OAKLAND, CA 94610-3757
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA3657
CA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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