AMY SUPERNAW

SAN DIEGO, CA
NPI1932573250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  53038)
Enumeration Date2015-11-24
Last Update Date2015-11-24
Business Address
Miss AMY SUPERNAW PA-C
4575 COLLEGE AVE
SAN DIEGO, CA 92115-4011
Phone number: 888-743-7526
Mailing Address
Miss AMY SUPERNAW PA-C
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108-3538
Phone number: