Individual
JESSICA DIANDRA OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PETALUMA BLVD S, PETALUMA, CA 94952-5545
(707) 765-8488
Mailing address
1036 KAWANA SPRINGS RD APT 206, SANTA ROSA, CA 95404-1866
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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