Individual
LAUREN B JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6156 COLT PL UNIT 102, CARLSBAD, CA 92009-1814
(818) 489-0912
Mailing address
6156 COLT PL UNIT 102, CARLSBAD, CA 92009-1814
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95063656
CA
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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