Organization
VA SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MILLER DNP (NURSE PRACTITIONER)
(808) 391-2200
Entity
Organization
Contact information
Practice address
815 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-3424
(760) 466-7020
Mailing address
519 STRATFORD CT, UNIT B, DEL MAR, CA 92014-2731
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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