Individual
VANESSA NICOLE DARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(951) 623-7624
Mailing address
10155 BAUSELL CT, SAN DIEGO, CA 92124-3201
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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