Individual
JARED JERMAINE LUMANAUW-FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 H ST, CHULA VISTA, CA 91910-4307
(858) 260-7825
Mailing address
7800 WESTSIDE DR APT 104, SAN DIEGO, CA 92108-1217
(706) 332-8850
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021632
CA
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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