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Individual

DR. SANDRA LEE JASSMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5565 GROSSMONT CENTER DR BLDG 3, SUITE 360, LA MESA, CA 91942
(619) 462-3360
(619) 462-3363
Mailing address
5565 GROSSMONT CENTER DR BLDG 3, SUITE 360, LA MESA, CA 91942
(619) 462-3360
(619) 462-3363

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G27383
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G27383
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G273830
CA
Enumeration date
01/24/2006
Last updated
08/29/2007
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