Individual
ASBJORG JADE THORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3723 PERDIDO ST, SAN MARCOS, CA 92078-2334
(805) 441-4375
Mailing address
3723 PERDIDO ST, SAN MARCOS, CA 92078-2334
(805) 441-4375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95236263
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
AG10230104
CA
Other
Enumeration date
01/28/2021
Last updated
11/22/2023
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