Individual
EMILY ANN NESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3333
Mailing address
868 UPHAM STREET, 1/2, SAN LUIS OBISPO, CA 93401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63536
CA
Other
Enumeration date
12/13/2022
Last updated
12/19/2024
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