JOHANNA JETTON

BERKELEY, CA
NPI1114430105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CA  235935)
Additional Taxonomies363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA  95007955)
Enumeration Date2017-11-13
Last Update Date2026-03-05
Business Address
JOHANNA JETTON
2999 REGENT ST STE 524
BERKELEY, CA 94705-2120
Phone number: 510-244-0446
Mailing Address
JOHANNA JETTON
3211 KING ST
BERKELEY, CA 94703-2434
Phone number: