Individual
JESSICA MARIK PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 PIONEER LN, BISHOP, CA 93514-2556
(310) 947-1131
Mailing address
421 AVENUE G, APT H, REDONDO BEACH, CA 90277-5929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
275149
NY
207P00000X
Emergency Medicine Physician
52304
MT
207P00000X
Emergency Medicine Physician
Primary
A146543
CA
Other
Enumeration date
07/08/2010
Last updated
05/02/2017
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