Individual
MRS. CAREY ANN HEADLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7920 FROST ST STE 200, SAN DIEGO, CA 92123-4289
(858) 966-8603
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60069
CA
Other
Enumeration date
09/14/2010
Last updated
08/08/2022
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