Individual
MS. JESSICA DEYANIRA IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RAD TECH
Contact information
Practice address
8233 SCOTTSDALE DR, SACRAMENTO, CA 95828-4530
(916) 548-0230
Mailing address
8233 SCOTTSDALE DR, SACRAMENTO, CA 95828-4530
(916) 548-0230
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
RHF00087758
CA
2471C3401X
Computed Tomography Radiologic Technologist
Primary
RHF00087758
CA
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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