Individual
ERIC JAY STOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
995 GATEWAY CENTER WAY STE 202, SAN DIEGO, CA 92102-4545
(619) 264-3107
Mailing address
995 GATEWAY CENTER WAY STE 202, SAN DIEGO, CA 92102-4545
(619) 264-3107
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95019667
CA
Other
Enumeration date
10/09/2021
Last updated
11/01/2022
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