Individual
JAY GENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7986 DAGGET ST, SAN DIEGO, CA 92111-2321
(858) 300-0460
(858) 300-0461
Mailing address
7986 DAGGET ST, SAN DIEGO, CA 92111-2321
(858) 300-0460
(858) 300-0461
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN271425
CA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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