Individual
MARILYN CRANDALL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7920 FROST ST, STE 200, SAN DIEGO, CA 92123-2736
(858) 966-5840
Mailing address
3020 CHILDRENS WAY, MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G30850
CA
208000000X
Pediatrics Physician
G30850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G308500
—
CA
Enumeration date
11/13/2006
Last updated
02/16/2017
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