Individual
JODI ANN REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN PHN
Contact information
Practice address
896 WINDRIDGE CIR, SAN MARCOS, CA 92078-7917
(760) 535-0094
Mailing address
896 WINDRIDGE CIR, SAN MARCOS, CA 92078-7917
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
464064
CA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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