AIVI DOLAN PHUNG

SAN DIEGO, CA
NPI1639528110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA53902)
Enumeration Date2016-06-06
Last Update Date2023-12-22
Business Address
AIVI DOLAN PHUNG PA-C
6973 LINDA VISTA RD
SAN DIEGO, CA 92111-6342
Phone number: 858-279-0925
Mailing Address
AIVI DOLAN PHUNG PA-C
6973 LINDA VISTA RD
SAN DIEGO, CA 92111-6342
Phone number: 858-279-0925
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