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NPI Code Detail

MEDICARE: JENNIFER ALDANA

MEDICARE:   JENNIFER  ALDANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1255748679
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ALDANA
Provider Business Mailing Address
First Line : 7200 BANCROFT AVE STE 269
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2482
Country : US
Telephone Number : 510-746-1700
Fax Number :
Provider Business Practice Location Address
First Line : 7200 BANCROFT AVE STE 269
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2482
Country : US
Telephone Number : 510-746-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2014
Last Update Date : 07/17/2014

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Directions to “ JENNIFER ALDANA ” Practice Location

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