Individual provider · NPI-1

Jamson Jaeger Deloria Abella

Registered Nurse, Psych/Mental Health, Adult · San Diego, CA

NPI number1396345260

StatusActive

Last updated in NPPESOct 29, 2020

Details

NPI: 1396345260
Entity type: Individual (NPI-1)
Name: Jamson Jaeger Deloria Abella
Sex: Male
Sole proprietor: Yes
Enumeration date: Oct 29, 2020
Certification date: Oct 29, 2020
Last updated: Oct 29, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	95187889	CA	Yes

Practice location

3853 Rosecrans St
San Diego, CA 92110-3115

Phone 619-692-8232 · Fax 619-542-4060

Mailing address

3853 Rosecrans St
San Diego, CA 92110-3115

Phone 619-692-8232 · Fax 619-542-4060

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