Individual
MRS. AMY CLAIRE ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C,MMS
Contact information
Practice address
12865 POINTE DEL MAR WAY, SUITE #160, DEL MAR, CA 92014-3860
(858) 350-7546
(858) 350-8282
Mailing address
319 F ST STE 102, CHULA VISTA, CA 91910-2666
(619) 476-1200
(619) 429-7849
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19249
CA
Other
Enumeration date
10/11/2007
Last updated
07/10/2024
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