Healthcare Provider Details

I. General information

NPI: 1326356536
Provider Name (Legal Business Name): JESSICA JEAN REMER GABLE BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 29TH ST STE 204
OAKLAND CA
94609
US

IV. Provider business mailing address

3950 PINOLE VALLEY RD
PINOLE CA
94564-1000
US

V. Phone/Fax

Practice location:
  • Phone: 510-679-3545
  • Fax:
Mailing address:
  • Phone: 510-827-0572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: