JONATHAN NISSANOFF

POWAY, CA
NPI1134135155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: CA  G82348)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- JONATHAN NISSANOFF MD
15525 POMERADO RD STE E6
POWAY, CA 92064-2427
Phone number: 858-451-2280
Mailing Address
-- JONATHAN NISSANOFF MD
PO BOX 502530
SAN DIEGO, CA 92150-2530
Phone number: 858-451-2280
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