Individual
FERDINAND SAN JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1954 MARQUIS COURT, CHULA VISTA, CA 91913
(661) 703-3779
Mailing address
1954 MARQUIS CT, CHULA VISTA, CA 91913-3127
(661) 703-3779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6386
CA
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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