Individual
ELLEN DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10243 GENETIC CENTER DRIVE, SAN DIEGO, CA 92121
(858) 526-6019
Mailing address
12440 RUETTE ALLIANTE, SAN DIEGO, CA 92130-2512
(858) 353-1983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
393446
CA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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