Individual
JASMINE MATTHIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5055 RUFFIN RD, SAN DIEGO, CA 92123-1617
(858) 573-7340
Mailing address
5055 RUFFIN RD, SAN DIEGO, CA 92123-1617
(858) 573-7340
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN541341
CA
Other
Enumeration date
04/04/2007
Last updated
03/02/2010
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