Individual
ADRIANA YVETTE SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5424
Mailing address
10790 RANCHO BERNARDO RD # 4S-205, SAN DIEGO, CA 92127-5705
(858) 824-5424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
460449
CA
Other
Enumeration date
06/26/2019
Last updated
06/27/2019
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