Individual
JACQUELINE MCKESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 LANDIS AVE STE 300, CHULA VISTA, CA 91910-2650
(619) 426-9600
(194) 264-1126
Mailing address
256 LANDIS AVE STE 300, CHULA VISTA, CA 91910-2650
(619) 426-9600
(619) 543-6529
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A178184
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A178184
CA
207NP0225X
Pediatric Dermatology Physician
A178184
CA
207NS0135X
Procedural Dermatology Physician
A178184
CA
Other
Enumeration date
04/27/2017
Last updated
06/19/2024
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