Individual
DR. KAIA ERICKSON JYSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(310) 503-0073
Mailing address
2941 PALM ST, SAN DIEGO, CA 92104-4945
(310) 503-0073
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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