Search › California › 163W00000X
Mary Jeter
NPI 1508372087 · on the registry since 2017
Practice
- Address
- 4116 Dickson Ct
Oakland, CA 94605 - Phone
- (510) 638-4840
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California