Individual
JENNIFER POEHLER EASTLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12395 EL CAMINO REAL, SUITE 200, SAN DIEGO, CA 92130-3082
(858) 481-3376
(858) 755-5947
Mailing address
12395 EL CAMINO REAL, SUITE 200, SAN DIEGO, CA 92130-3082
(858) 925-7227
(858) 925-7227
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A75157
CA
Other
Enumeration date
07/05/2006
Last updated
05/03/2011
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