Wilfong, Jessica R

Wilfong, Jessica R is an individual health care provider with primary practice located at 2120 Alpine Blvd , Alpine CA 91901-2113. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Wilfong, Jessica R can be contacted via phone (619) 722-1426.

Contact Information

Primary practice address
2120 Alpine Blvd Alpine CA 91901-2113
Phone: (619) 722-1426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1346505054
LBN Legal business name Wilfong, Jessica R
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Jul 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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