Individual
JESSICA GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
580 VIA DEL CABALLO, SAN MARCOS, CA 92078-8910
(760) 505-2677
Mailing address
580 VIA DEL CABALLO, SAN MARCOS, CA 92078-8910
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
764917
CA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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