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Individual

DR. ADLA TESSIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4060 FAIRMOUNT AVE, FAMILY PRACTICE, SAN DIEGO, CA 92105
(619) 255-9155
(619) 795-9849
Mailing address
PO BOX 22128, SAN DIEGO, CA 92192-2128
(619) 997-8861
(858) 452-0152

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A 51666
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073144432
AMERICAN BOARD OF FAMILY MEDICINE
Enumeration date
07/08/2005
Last updated
03/27/2023
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