Individual
JESSICA CAMPOS-AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-8000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95032612
CA
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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