Provider Demographics
NPI:1164393369
Name:JAIME, DELYLAH KRISTINA
Entity type:Individual
Prefix:
First Name:DELYLAH
Middle Name:KRISTINA
Last Name:JAIME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8117 CALAVERAS ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-1130
Mailing Address - Country:US
Mailing Address - Phone:805-465-8199
Mailing Address - Fax:
Practice Address - Street 1:8117 CALAVERAS ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93004-1130
Practice Address - Country:US
Practice Address - Phone:805-465-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA753098164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty