Individual
MS. JASMINA PONJAVIC DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29798 HAUN RD STE 108, MENIFEE, CA 92586-6541
(951) 301-9339
(951) 301-3980
Mailing address
29798 HAUN RD STE 108, MENIFEE, CA 92586-6541
(951) 301-9339
(951) 301-3980
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19405
DEPARTMENT OF CONSUMER AFFAIRS
CA
05
—
PA19405
—
CA
Enumeration date
01/18/2008
Last updated
07/21/2022
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