Individual
MRS. JODI LAINE TARUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6700
(760) 736-6700
Mailing address
29573 GREENBELT CIR, MENIFEE, CA 92585-9262
(951) 566-5454
(951) 566-5454
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
18111
CA
Other
Enumeration date
08/30/2006
Last updated
11/29/2021
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