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

Jared Bruce Wollaber

Individual provider Independent Duty Corpsman · NPI 1699537092

Jared Bruce Wollaber is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

14 Farenholt Ave
San Diego, CA 92134-0001
Phone: (619) 399-6609
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 number1699537092
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

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