JAMIE KROESCH LIDSTER

ENCINITAS, CA
NPI1538633219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006076)
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
JAMIE KROESCH LIDSTER
2210 ENCINITAS BLVD STE N
ENCINITAS, CA 92024-4376
Phone number: 760-230-1888
Mailing Address
JAMIE KROESCH LIDSTER
3213 AVENIDA HACIENDA
ESCONDIDO, CA 92029-7927
Phone number: 760-533-2739