Individual
MS. ANTOINETTE FRANCES DOROTHY BUSALACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 WASHINGTON ST, SAN DIEGO, CA 92103-2289
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22935
CA
Other
Enumeration date
05/08/2013
Last updated
04/30/2025
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