Individual
DR. JILL BORMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, 111N-1, SAN DIEGO, CA 92161-0002
(858) 552-8585
(858) 552-1249
Mailing address
4768 39TH ST, SAN DIEGO, CA 92116-2208
(619) 280-5787
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
372423
CA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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