JEREMY DANIEL BLAKESPEAR

OCEANSIDE, CA
NPI1750474177
Former NameJEREMY DANIEL SPEARMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 19825)
Additional Taxonomies363A00000X Physician Assistant
(Licence: UT  51942131206)
363AM0700X Physician Assistant, Medical
(Licence: UT  51942131206)
Enumeration Date2006-09-30
Last Update Date2015-02-05
Business Address
-- JEREMY DANIEL BLAKESPEAR P.A.-C.
3220 MISSION AVE STE 1
OCEANSIDE, CA 92058-1354
Phone number: 760-433-3155
Mailing Address
-- JEREMY DANIEL BLAKESPEAR P.A.-C.
150 VALPREDA RD
SAN MARCOS, CA 92069-2973
Phone number: 760-736-6767