Individual
JESSICA KOVACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SFIDC
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(407) 330-8163
Mailing address
534 CALICO RD, OCEANSIDE, CA 92058-6751
(407) 330-8163
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
06/28/2023
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