Individual
MR. JASPER BERNALES PRIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 N CLEMENTINE ST, OCEANSIDE, CA 92054-2806
(760) 638-5935
Mailing address
1161 BREWLEY LN, VISTA, CA 92081-9027
(347) 326-0763
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017769
CA
Other
Enumeration date
11/15/2019
Last updated
10/06/2024
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