Individual
JESSICA MARIE DELLA VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4965
Mailing address
709 N JUSTICE ST, STE A, HENDERSONVILLE, NC 28791-3455
(828) 435-8150
(828) 435-8151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2021-02642
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2012
Last updated
09/21/2021
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