Individual
MRS. JAMIE FUKAI SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6767
(760) 736-8740
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6767
(760) 736-8740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2462
CO
363AM0700X
Medical Physician Assistant
Primary
PA21723
CA
Other
Enumeration date
05/05/2008
Last updated
08/01/2017
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