Individual
ADELITA JASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
446 ALTA RD # 300, SAN DIEGO, CA 92158-0001
(619) 661-2789
Mailing address
2239 RAVENWOOD DR, LEMON GROVE, CA 91945-3850
(619) 203-8155
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
203583
CA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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