Individual
MRS. JESSICA ROSE DIESELDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
398 S GREEN VALLEY RD, WATSONVILLE, CA 95076-3099
(831) 786-2008
(831) 724-7438
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3619
(408) 287-0405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10442
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
548205
CA
Other
Enumeration date
10/10/2006
Last updated
10/24/2016
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