Individual
MS. JESSICA ANN DEREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4767 ZION AVE, SAN DIEGO, CA 92120
(619) 516-7545
(619) 516-7508
Mailing address
5893 COPLEY DR, GARFIELD SPECIALTY CENTER, SAN DIEGO, CA 92111-7906
(858) 616-5024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A87084
CA
208600000X
Surgery Physician
Primary
A87084
CA
Other
Enumeration date
06/18/2008
Last updated
11/24/2021
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