Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 214 | CA |
NPI | 1033372271 |
---|---|
Provider Name | Jessica Ruby Oqvist Bello |
First Address | Concord, CA 94520-2309 |
Second Address | Concord, CA 94520-2309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 20/05/2019 |