Individual
JESSICA NICOLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15942 FOOTHILL BLVD, SAN LEANDRO, CA 94578-2102
(510) 317-1437
Mailing address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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