Individual
MS. JENNIFER SZUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA58422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342218001
—
TX
Enumeration date
01/11/2011
Last updated
07/13/2021
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