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Individual

MRS. JAEDA BREANNA EWINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, AGCNS-BC

Contact information

Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
1251 PASEO SEA GRASS UNIT 111, SAN DIEGO, CA 92154-6355
(703) 881-8242

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN78645
RI

Other

Enumeration date
07/02/2025
Last updated
07/02/2025
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