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Individual

DR. JENNIFER LEE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 EAST PAOMAR STREET, CHULA VISTA, CA 91913-1800
(858) 499-2702
(619) 397-3378
Mailing address
1400 EAST PAOMAR STREET, CHULA VISTA, CA 91913-1800
(858) 499-2702
(619) 397-3378

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
C55027
CA
207VG0400X
Gynecology Physician
Primary
4301082162
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831318229
NPI
Enumeration date
04/24/2007
Last updated
12/06/2021
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