JENNIFER LYNNE DETISCH

VISTA, CA
NPI1730215534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  16773)
Enumeration Date2007-02-26
Last Update Date2021-11-30
Business Address
JENNIFER LYNNE DETISCH NP
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
Mailing Address
JENNIFER LYNNE DETISCH NP
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
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