Individual
JENICA DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4113
(760) 294-1281
(760) 888-2175
Mailing address
1955 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4113
(760) 294-1281
(760) 888-2175
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
282198
CA
Other
Enumeration date
01/09/2015
Last updated
10/07/2024
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