Individual
JANELLE CHARLE SOURBEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-0004
(619) 532-6481
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6481
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
182757
CA
Other
Enumeration date
05/22/2018
Last updated
12/16/2024
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