Individual
FRESHTA NEJATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
10039 VINE ST, LAKESIDE, CA 92040-3120
(619) 390-9975
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 657-7750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001514
CA
Other
Enumeration date
08/22/2014
Last updated
01/08/2019
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