Individual
JACQUELINE CEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-3302
Mailing address
1040 84TH AVE, OAKLAND, CA 94621-1832
(510) 325-1325
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28770
CA
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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