Individual
JOCELYN RAQUEL RAEDEKER-FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Contact information
Practice address
3165 B ST, SAN DIEGO, CA 92102-2359
(619) 822-4507
Mailing address
3165 B ST, SAN DIEGO, CA 92102-2359
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN95215783
CA
374U00000X
Home Health Aide
7516123688
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
12/23/2019
Last updated
10/07/2020
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