JACQUELINE SMALL

LA JOLLA, CA
NPI1598410615
Former NameJACQUELINE CODEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  60721)
Enumeration Date2022-02-16
Last Update Date2026-01-23
Business Address
JACQUELINE SMALL PA-C
9898 GENESEE AVE FL 1
LA JOLLA, CA 92037-1205
Phone number: 858-824-4110
Mailing Address
JACQUELINE SMALL PA-C
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-824-4110
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