Most Relevant Information
Provider Data
NPI Number: | 1003344292 |
Provider Name: | JALITZA CARDONA |
Entity Type: | Individual |
Taxonomy Code: | 175T00000X |
Specialty: | Peer Specialist |
License Number: |
Most Important Dates
Enumeration Date: | 06/01/2017 |
Last Updated: | 07/21/2022 |
Provider Practice Location
853 3RD AVE
SUITE C
CHULA VISTA
CA
91911
Practice Location Phone/Fax
Phone: | 6194274661 |
Fax: |
Provider Mailing Location
853 3RD AVE
SUITE C
CHULA VISTA
CA
91911
Provider Mailing Phone/Fax
Phone: | 6194274661 |
Fax: |