Michele Jackson, RI-J0808181554

NPI 1740411636 · on the registry since 2009

Practice

Address: 10700 Macarthur Blvd
Ste 12
Oakland, CA 94605
Phone: (510) 568-2432
Fax: (510) 568-3912
Organisation at this address: Bibett
Bi-Bett
Bi-Bett
Bi Bett
Bi Bett
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 43

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-07-27

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