Individual
JOANNA ROBERTA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1853 N VULCAN AVE, SUITE 5, ENCINITAS, CA 92024-1151
(760) 809-3388
(760) 943-1523
Mailing address
PO BOX 151, SOLANA BEACH, CA 92075-0151
(760) 809-3388
(760) 943-1523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G043299
CA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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