Individual
DR. ELLEN LAURA ROSE CUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9333 GENESEE AVE STE 310, SAN DIEGO, CA 92121-2103
(858) 657-6028
(858) 249-2519
Mailing address
200 W ARBOR DR # 0829, SAN DIEGO, CA 92103-1911
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A194088
CA
Other
Enumeration date
02/08/2024
Last updated
07/22/2024
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