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Individual

JENNIFER BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-5314
(760) 721-2171
Mailing address
4812 CAPE MAY AVE APT 2, SAN DIEGO, CA 92107-2567

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95120161
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017240
CA

Other

Enumeration date
03/19/2012
Last updated
12/23/2021
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