Individual
JERSON DEREK ESTEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN RN
Contact information
Practice address
5150 BALTIMORE DR APT 153, LA MESA, CA 91942-0629
(858) 705-9058
Mailing address
5150 BALTIMORE DR APT 153, LA MESA, CA 91942-0629
(858) 705-9058
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95186165
CA
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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