Individual
JASON G HYSLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6699 BEADNELL WAY, 237, SAN DIEGO, CA 92117-5125
(916) 768-6187
Mailing address
6699 BEADNELL WAY, 237, SAN DIEGO, CA 92117-5125
(916) 768-6187
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF85176
CA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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