Individual
MS. AMELIA PICONES DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(619) 788-2402
Mailing address
2274 MONTCLIFF RD, SAN DIEGO, CA 92139-3918
(619) 788-2402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18109
CA
Other
Enumeration date
10/21/2008
Last updated
11/08/2011
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