Individual provider · NPI-1

Jennah Bryant

Technician, Other · Oakland, CA

NPI number1023507233
StatusActive
Last updated in NPPESMay 2, 2018

Details

NPI
1023507233
Entity type
Individual (NPI-1)
Name
Jennah Bryant
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2018
Last updated
May 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

1999 Harrison St
Oakland, CA 94612-3520

Phone 916-729-3098

Mailing address

285 Newton Ave
Oakland, CA 94606-1423

Phone 209-470-4182

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Other Technician, Other providers in Oakland, CA