Individual
MR. JESS CHRISTIAN JADE BERSALES DYCOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9890 COUNTY FARM RD STE 1, RIVERSIDE, CA 92503-3678
(740) 860-9575
Mailing address
9890 COUNTY FARM RD STE 1, RIVERSIDE, CA 92503-3678
(740) 860-9575
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95239559
CA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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