Individual
JESSICA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
Primary
0101267957
VA
207L00000X
Anesthesiology Physician
A199364
CA
208D00000X
General Practice Physician
0101267957
VA
Other
Enumeration date
03/26/2018
Last updated
08/13/2026
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