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Individual

MRS. JAZEL RUIVIVAR SAMBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2510 EL CAMINO REAL, CARLSBAD, CA 92008-1273
(760) 729-8941
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
95012694
CA
363L00000X
Nurse Practitioner
Primary
NP95012694
CA
363LF0000X
Family Nurse Practitioner
95012694
CA

Other

Enumeration date
09/13/2019
Last updated
01/25/2022
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