Individual
MARY MARGARET VANSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
3489 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(618) 881-9169
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101283077
VA
Other
Enumeration date
02/17/2023
Last updated
04/25/2025
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