COLLEEN GUSTAFSON ESPENSCHIED

SAN DIEGO, CA
NPI1366464471
Former NameCOLLEEN GUSTAFSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA17108)
Enumeration Date2006-07-25
Last Update Date2013-04-04
Business Address
-- COLLEEN GUSTAFSON ESPENSCHIED PA-C.
2017 1ST AVE
SAN DIEGO, CA 92101-2033
Phone number: 619-881-4577
Mailing Address
-- COLLEEN GUSTAFSON ESPENSCHIED PA-C.
FILE 54433
LOS ANGELES, CA 90074-0001
Phone number: