Individual
CARLY ANN DURUTOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 W KNAPP DR, VISTA, CA 92083-1958
(760) 842-3143
Mailing address
1602 W KNAPP DR, VISTA, CA 92083-1958
(760) 842-3143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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