Individual
JESSICA RIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 BLUE ROCK CT, SAN JOSE, CA 95133-2670
(408) 613-4236
Mailing address
2543 BLUE ROCK CT, SAN JOSE, CA 95133-2670
(408) 613-4236
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
987654321
KAISER
—
Enumeration date
03/03/2021
Last updated
03/03/2021
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