JILL MARIE WAALEN

SAN DIEGO, CA
NPI1578611554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: CA  A69683)
Enumeration Date2007-01-08
Last Update Date2007-11-30
Business Address
JILL MARIE WAALEN MD
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number: 619-528-5000
Mailing Address
JILL MARIE WAALEN MD
393 E WALNUT ST 3RD FLOOR PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 000-000-0000