Provider Demographics
NPI:1184744708
Name:PAIGE, JESSICA A (DC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:A
Last Name:PAIGE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1620 WESTWOOD DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5114
Mailing Address - Country:US
Mailing Address - Phone:408-385-1849
Mailing Address - Fax:408-385-1853
Practice Address - Street 1:1620 WESTWOOD DR STE D
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5114
Practice Address - Country:US
Practice Address - Phone:408-385-1849
Practice Address - Fax:408-385-1853
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-29172111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor