Individual
DR. JACQUELINE MARIE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
435 H ST, EMERGENCY DEPARTMENT, CHULA VISTA, CA 91910-4307
(619) 691-7290
Mailing address
435 H ST, EMERGENCY DEPARTMENT, CHULA VISTA, CA 91910-4307
(619) 691-7290
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A10015
CA
208D00000X
General Practice Physician
02002390A
IN
Other
Enumeration date
01/27/2006
Last updated
07/31/2010
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