TALITHA MARIE JESSE

PHOENIX, AZ
NPI1669823829
Former NameTALITHA MARIE JESSE KHORASANI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  D012005)
Additional Taxonomies122300000X Dentist
(Licence: CA  108674)
390200000X Student in an Organized Health Care Education/Training Program
103K00000X Behavior Analyst
Enumeration Date2016-06-28
Last Update Date2024-09-19
Business Address
TALITHA MARIE JESSE
4550 E BELL RD STE 106
PHOENIX, AZ 85032-9342
Phone number: 602-344-9530
Mailing Address
TALITHA MARIE JESSE
16333 RIDGEHAVEN DR UNIT 1002
SAN LEANDRO, CA 94578-1481
Phone number: 925-719-0019