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Individual

JACQUELIN J VAITHIANATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
124 LOMAS SANTA FE DR STE 206, SOLANA BEACH, CA 92075-1252
(858) 228-4188
Mailing address
124 LOMAS SANTA FE DR STE 206, SOLANA BEACH, CA 92075-1252
(858) 228-4188

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
35QVDW6C
CA

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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