JACKLYNNE PHAN

SAN DIEGO, CA
NPI1649904210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA6777)
Enumeration Date2022-07-11
Last Update Date2024-10-16
Business Address
JACKLYNNE PHAN
4282 GENESEE AVE STE 201
SAN DIEGO, CA 92117-4964
Phone number: 858-746-7882
Mailing Address
JACKLYNNE PHAN
4282 GENESEE AVE STE 201
SAN DIEGO, CA 92117-4964
Phone number: 858-746-7882