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Jamie Southerland
NPI 1629784236 · on the registry since 2023 · sole proprietor
Practice
- Address
- 777 Davis St
San Leandro, CA 94577 - Phone
- (414) 656-0116
- Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 101Y00000X
101YM0800X
172V00000X - Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California