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Individual

JESSICA J REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
7901 FROST ST, SAN DIEGO, CA 92123
(858) 939-3400
Mailing address
3131 BERGER AVE STE 200, SAN DIEGO, CA 92123-4203
(858) 244-6800
(858) 244-6809

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95005501
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952818601
SHARP COMMUNITY MEDICAL GROUP
CA
Enumeration date
01/03/2018
Last updated
06/11/2019
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