Individual
MS. JANN MILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 238-5020
(510) 352-9981
Mailing address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 238-5020
(510) 352-9981
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1411033663
EMPLOYER IDENTIFICATION NUMBER
CA
Enumeration date
07/29/2016
Last updated
07/29/2016
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