JENNA DERICKSON

OAKLAND, CA
NPI1215458120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54296)
Enumeration Date2017-06-30
Last Update Date2022-01-03
Business Address
JENNA DERICKSON
275 W MACARTHUR BLVD
OAKLAND, CA 94611-5641
Phone number: 510-752-1105
Mailing Address
JENNA DERICKSON
275 W MACARTHUR BLVD FL 3
OAKLAND, CA 94611-5641
Phone number: 510-752-1105
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