Jesse Detorres, CO
Jesse Detorres, CO is an Orthotist in Oakland, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
433 Hegenberger Rd Ste 100Oakland, CA 94621-1448
Phone: (510) 430-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X |
|---|
Record details
| NPI number | 1952599722 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO |
| Sole proprietor | No |
| NPI enumerated | October 5, 2007 |
| Last updated in NPPES | October 5, 2007 |
| Mailing address | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 |
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