| NPI | 1063867380 |
|---|---|
| Other Name | JESSICA RIDAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95004141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 95004141) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004141) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004141) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2018-01-20 |