Individual
JESSICA REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4800
Mailing address
3910 GEORGIA AVE NW, 322, WASHINGTON, DC 20011-5883
(925) 548-6023
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D98294
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
09/18/2023
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