Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dejanae Hairston, IDC

Individual provider Independent Duty Corpsman · NPI 1821585332

Dejanae Hairston, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134
Phone: (619) 532-6666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1821585332
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESApril 19, 2018

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