Individual
JENNIFER NAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 LEDGE ST, SAN MARCOS, CA 92078-2840
(619) 254-5281
Mailing address
1026 W EL NORTE PKWY # 166, ESCONDIDO, CA 92026-3341
(619) 254-5281
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117366
CA
106S00000X
Behavior Technician
RBT-19-97827
CA
Other
Enumeration date
09/09/2019
Last updated
06/27/2025
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