Individual
DR. JESSICA MICHELLE COULLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
951 STRATFORD DR, # 1-2, ENCINITAS, CA 92024-4552
(858) 437-2073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A95336
CA
Other
Enumeration date
10/11/2007
Last updated
02/01/2011
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