Individual
JESSICA N OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10039 VINE ST, LAKESIDE, CA 92040-3120
(833) 867-4642
Mailing address
10039 VINE ST, LAKESIDE, CA 92040-3120
(833) 867-4642
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26050
CA
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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