Individual
JESICA SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 E VAN BIBBER AVE, ORANGE, CA 92866-2027
(408) 497-3777
Mailing address
567 E VAN BIBBER AVE, ORANGE, CA 92866-2027
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
643484
CA
Other
Enumeration date
03/25/2017
Last updated
07/05/2024
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