Individual
DELYSSA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
5275 MARKET ST # G, SAN DIEGO, CA 92114-2212
(619) 263-7090
Mailing address
5275 MARKET ST # G, SAN DIEGO, CA 92114-2212
(619) 263-7090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
744202
CA
163WC1500X
Community Health Registered Nurse
75442
CA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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