Individual
JESSICA FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-7462
(805) 541-6033
Mailing address
PO BOX 5007, SAN LUIS OBISPO, CA 93403-5007
(805) 710-7308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20A12660
CA
Other
Enumeration date
03/23/2011
Last updated
06/21/2024
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