Individual
JENNA DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
Mailing address
829 WOODSPRING DR, CHULA VISTA, CA 91913-2344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020922
CA
Other
Enumeration date
07/07/2022
Last updated
03/06/2023
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