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1063280329
JESSICA ELLISON IZQUIERDO
BERKELEY, CA
NPI
1063280329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: CA 236419)
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
JESSICA ELLISON IZQUIERDO
2450 ASHBY AVE
BERKELEY, CA 94705-2067
Phone number: 415-847-9420
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Mailing Address
JESSICA ELLISON IZQUIERDO
223 JULIA AVENUE
MILL VALLEY, CA 94941
Phone number:
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