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Individual

BRENDA LEE MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 784-5894
(858) 784-5960
Mailing address
10760 SCRIPPS RANCH BLVD, APT 202, SAN DIEGO, CA 92131-6002
(619) 453-2800

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2130
CA

Other

Enumeration date
09/28/2007
Last updated
12/20/2010
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