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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