Individual
JESSICA LYNN DUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11727 STONEY PEAK DR, APT #75, SAN DIEGO, CA 92128-4291
(858) 673-5437
Mailing address
11727 STONEY PEAK DR, APT #75, SAN DIEGO, CA 92128-4291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11325
CA
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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