Individual
HYEGYEONG JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Contact information
Practice address
5530 OVERLAND AVE, SAN DIEGO, CA 92123-1260
(858) 694-3900
Mailing address
1991 EDISON CT, CHULA VISTA, CA 91915-1459
(619) 354-0205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95255299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564940
PHN LICENSE #
CA
01
—
95255299
RN LICENSE #
CA
Enumeration date
01/30/2023
Last updated
01/30/2023
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