Organization
COUNTY OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA NELSON (CHIEF PROBATION OFFICER)
(858) 514-3148
Entity
Organization
Contact information
Practice address
2801 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
(858) 298-6851
Mailing address
9444 BALBOA AVE STE 500, SAN DIEGO, CA 92123-4393
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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