Individual
JESSICA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DRIVE, SAN DIEGO, CA 92134-5000
(816) 721-0055
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8963
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
0101267957
VA
207L00000X
Anesthesiology Physician
Primary
A199364
CA
208D00000X
General Practice Physician
0101267957
VA
Other
Enumeration date
03/26/2018
Last updated
08/13/2025
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