Organization
CIARAN JACKA DPM INC
Active
Other names
Ciaran Jacka DPM Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CIARAN JACKA DPM (PRESIDENT)
(510) 374-8213
Entity
Organization
Contact information
Practice address
2089 VALE RD STE 12, SAN PABLO, CA 94806-3848
(510) 232-0892
(510) 234-5951
Mailing address
3031 DOHR ST, BERKELEY, CA 94702-2713
(510) 374-8213
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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