Individual
MS. JADE NICOLE CALIMLIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6818 DORIANA ST APT 35, SAN DIEGO, CA 92139-2028
(760) 543-6509
Mailing address
7264 DANAWOODS CT, SAN DIEGO, CA 92114-7949
(619) 813-6975
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1323884
DRIVER LICENSE
CA
Enumeration date
09/19/2019
Last updated
09/19/2019
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