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Individual

MRS. LENISHA DANIELLE JACKSON-MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMA

Contact information

Practice address
2051 CUSHING RD, SAN DIEGO, CA 92106-6173
(619) 524-0173
Mailing address
883 CAMINO DEL SOL, CHULA VISTA, CA 91910-6664
(619) 370-2197

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2394412
VA

Other

Enumeration date
03/13/2008
Last updated
03/13/2008
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