Individual
ANAHITA JANNESARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Mailing address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/11/2022
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