Individual
JASMINKA DEPOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25636 NOTTINGHAM CT, LAGUNA HILLS, CA 92653-7504
(714) 647-4158
Mailing address
25636 NOTTINGHAM CT, LAGUNA HILLS, CA 92653-7504
(714) 647-4158
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A43848
CA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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