Individual
ASHLEY JENNIFER ENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121-6310
(858) 499-2600
Mailing address
16482 BRIDLEWOOD RD, POWAY, CA 92064-1427
(858) 335-1761
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
20A17045
CA
Other
Enumeration date
12/19/2017
Last updated
06/05/2020
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