Jaclyn Cornejo, 89928 IMF

NPI 1053773960 · on the registry since 2016

Practice

Address: 3340 Kemper St
Suite 105
San Diego, CA 92110
Phone: (619) 523-8121
Fax: (619) 523-8742
Organisation at this address: Richard J Ewing Dds Inc.
Mental Health Systems, Inc.
Sports Arena Podiatry Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 102

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California