Individual
JENNIFER RULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
256 LANDIS AVE, SUITE 300, CHULA VISTA, CA 91910-2650
(619) 422-1233
(619) 426-4112
Mailing address
256 LANDIS AVE, SUITE 300, CHULA VISTA, CA 91910-2650
(619) 422-1233
(619) 426-4112
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A124794
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A124794
CA
207NP0225X
Pediatric Dermatology Physician
A124794
CA
207NS0135X
Procedural Dermatology Physician
A124794
CA
Other
Enumeration date
05/13/2009
Last updated
06/19/2024
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