Individual
MRS. JESSICA YESENIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297
(858) 266-3300
Mailing address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
766166
CA
163WM0102X
Maternal Newborn Registered Nurse
766166
CA
367A00000X
Advanced Practice Midwife
Primary
236123
CA
Other
Enumeration date
01/22/2018
Last updated
05/19/2021
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