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Individual

JESSICA BRADLEY MACKAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
15615 POMERADO RD, POWAY, CA 92064-2405
(858) 613-4000
Mailing address
8073 HILLANDALE DR, SAN DIEGO, CA 92120-1512
(703) 650-8757

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95269817
CA

Other

Enumeration date
01/17/2024
Last updated
01/17/2024
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