JACKIE IRENE NEMBO KOM

SAN DIEGO, CA
NPI1285088369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  95002893)
Enumeration Date2016-04-14
Last Update Date2021-10-12
Business Address
JACKIE IRENE NEMBO KOM APRN, AGPCNP-BC,
17809 KACHINA CT
SAN DIEGO, CA 92127-1368
Phone number: 619-261-6328
Mailing Address
JACKIE IRENE NEMBO KOM APRN, AGPCNP-BC,
17809 KACHINA CT
SAN DIEGO, CA 92127-1368
Phone number: 619-261-6328