Individual
JENNIFER SANTIAGO OLESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
752 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6658
(619) 421-3361
(619) 869-4378
Mailing address
4225 EXECUTIVE SQ STE 450, LA JOLLA, CA 92037-8411
(858) 810-8000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020676
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95020676
LICENSE
CA
Enumeration date
04/18/2022
Last updated
05/18/2022
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