Individual
JAVONNA COBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(909) 782-1481
Mailing address
6065 ESTELLE ST UNIT 17, SAN DIEGO, CA 92115-5480
(909) 782-1481
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021625
CA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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