Individual
JEANETTE DELOS REYES ROSETE-OKAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4930 NAPLES ST, SAN DIEGO, CA 92110-3820
(619) 276-1176
Mailing address
4930 NAPLES ST, SAN DIEGO, CA 92110-3820
(619) 276-1176
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
147823
CA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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