MATTHEW THOMAS HENNIGAN

SAN DIEGO, CA
NPI1770981888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA09532)
Enumeration Date2014-12-05
Last Update Date2020-10-27
Business Address
MATTHEW THOMAS HENNIGAN
7590 MIRAMAR RD STE C
SAN DIEGO, CA 92126-4232
Phone number: 858-549-4255
Mailing Address
MATTHEW THOMAS HENNIGAN
7590 MIRAMAR RD STE C
SAN DIEGO, CA 92126-4232
Phone number: 858-549-4255
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