JOHANNA JETTON

HAYWARD, CA
NPI1114430105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA  95007955)
Enumeration Date2017-11-13
Last Update Date2022-01-03
Business Address
JOHANNA JETTON
22331 MISSION BLVD
HAYWARD, CA 94541-3911
Phone number: 510-471-5907
Mailing Address
JOHANNA JETTON
3211 KING ST
BERKELEY, CA 94703-2434
Phone number:
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