Provider Demographics
NPI:1821218751
Name:CATANO, JESSICA DANIELLE
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:DANIELLE
Last Name:CATANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 CENTRAL AVE STE F
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-4430
Mailing Address - Country:US
Mailing Address - Phone:510-769-6300
Mailing Address - Fax:510-636-1689
Practice Address - Street 1:2241 CENTRAL AVE STE F
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-4430
Practice Address - Country:US
Practice Address - Phone:510-769-6300
Practice Address - Fax:510-636-1689
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist