Individual
MR. ANTHONY JAYCEE DE MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-4471
Mailing address
1935 CANTAMAR RD, SAN DIEGO, CA 92154-1204
(559) 998-4471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
695110
CA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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