Individual
ALLISON D JURISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 N HARBOR BLVD # B, FULLERTON, CA 92832-1310
(714) 526-3248
(714) 526-3240
Mailing address
1027 N HARBOR BLVD # B, FULLERTON, CA 92832-1310
(714) 526-3248
(714) 526-3240
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT38421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT38421
LICENSE
CA
Enumeration date
06/12/2012
Last updated
08/15/2012
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