Individual
JILADA MOLLY CHUAYCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(858) 832-2478
Mailing address
4775 SEMINOLE DR APT 205, SAN DIEGO, CA 92115-4246
(909) 786-9204
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95225789
CA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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