Individual
MR. IAN FOSTER SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
5555 RESERVOIR DR STE 204-A, SAN DIEGO, CA 92120-5134
(619) 822-1800
(619) 839-3872
Mailing address
4175 WABASH AVE UNIT 1, SAN DIEGO, CA 92104-2140
(310) 922-6367
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95119190
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023071
CA
Other
Enumeration date
04/21/2021
Last updated
02/06/2025
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