Individual
JESSICA DEL CID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 48TH ST, SAN DIEGO, CA 92102-3703
(619) 709-8784
Mailing address
765 48TH ST, SAN DIEGO, CA 92102-3703
(619) 709-8784
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
250670
CA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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