Individual
JAMILA MOIRA STA. ANA BELENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 876-4502
Mailing address
647 MYRA AVE, CHULA VISTA, CA 91910-6229
(858) 649-9996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95401642
CA
Other
Enumeration date
01/21/2025
Last updated
01/28/2025
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