Individual
MISS ELISA JAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 293-4752
(619) 296-1803
Mailing address
242 20TH ST, SAN DIEGO, CA 92102-3812
(619) 293-4752
(619) 296-1803
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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