Individual
JESSICA ANN NIEMASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(989) 278-9683
Mailing address
3841 COLINA DORADA DR APT 201, SAN DIEGO, CA 92124-2853
(989) 278-9683
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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