Individual
DESIRAE RACHELLE EXENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NNP-BC
Contact information
Practice address
3010 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5818
Mailing address
3020 CHILDRENS WAY # MC5008, SAN DIEGO, CA 92123-4223
(858) 966-5818
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
NP95015583
CA
Other
Enumeration date
09/08/2020
Last updated
09/11/2023
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