Individual
KHADIJA DAMJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3420 CARMEL MOUNTAIN RD STE 200, SAN DIEGO, CA 92121-1069
(858) 267-4365
Mailing address
4200 BROOKE CT UNIT 404, SAN DIEGO, CA 92122-5286
(416) 841-6565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95027470
CA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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