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Organization

USN

Active
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Organization

USN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOELLE L ANNANDONO PA-C (PHYSICIAN ASSISTANT - CERTIFIED)
(619) 532-6666
Entity
Organization

Contact information

Practice address
34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134-1098
(619) 532-6666
Mailing address
34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134-1098

Taxonomy

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

Other

Enumeration date
02/07/2007
Last updated
08/22/2020
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