Individual
MR. STEPHEN L JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1415 ROSS AVE, EL CENTRO, CA 92243
(760) 339-7100
(760) 352-7612
Mailing address
1415 ROSS AVE, EL CENTRO, CA 92243
(760) 339-7100
(760) 352-7612
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
697287
CA
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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