Individual
JESSE DETORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
433 HEGENBERGER RD STE 100, OAKLAND, CA 94621-1448
(510) 430-2500
Mailing address
433 HEGENBERGER RD STE 100, OAKLAND, CA 94621-1448
(510) 430-2500
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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