JENNY IDICULA

SAN DIEGO, CA
NPI1083291637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95002777)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1052820)
163W00000X Registered Nurse
(Licence: TX  860986)
367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA253034)
Enumeration Date2021-03-28
Last Update Date2026-06-12
Business Address
JENNY IDICULA
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
Mailing Address
JENNY IDICULA
FILE 57326
LOS ANGELES, CA 90074-7326
Phone number: 800-926-8273