Jedzida Herron
Social Worker, School in San Ysidro, CA. Individual provider (NPI-1).
NPI number1093668899
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1093668899
- Entity type
- Individual (NPI-1)
- Name
- Jedzida Herron
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2026
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | 128467 | CA | Yes |
Practice location
4350 Otay Mesa RdSan Ysidro, CA 92173-1685
Phone 619-428-4776
Mailing address
4350 Otay Mesa RdSan Ysidro, CA 92173-1685
Phone 619-428-4776
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