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JESSICA DENISSE HURTADO TAPIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
U

Contact information

Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-6392
Mailing address
500 ALLERTON ST FL 2, REDWOOD CITY, CA 94063-1519
(650) 599-9955

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
07/24/2019
Last updated
03/25/2025
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