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Individual

MRS. GWEN S JANCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5353
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-5353

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15930
CA
363AM0700X
Medical Physician Assistant
PA15930
CA

Other

Enumeration date
11/21/2006
Last updated
01/29/2020
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