SearchCalifornia101YA0400X

Debra Jacks, RAS

NPI 1740526045 · on the registry since 2012

Practice

Address
700 Adeline St
Oakland, CA 94607
Phone
(510) 302-3790
Fax
(510) 272-0209
Organisation at this address
Bay Well Health
The West Oakland Health Council
The West Oakland Health Council
The West Oakland Health Council
The West Oakland Health Council
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

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
2012-12-14

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