Most Relevant Information
Provider Data
| NPI Number: | 1003065897 |
| Provider Name: | JENNIFER LEE HANLEY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 19927 |
Most Important Dates
| Enumeration Date: | 09/16/2008 |
| Last Updated: | 11/30/2021 |
Provider Practice Location
6655 ALVARADO RD
SAN DIEGO
CA
921205208
Practice Location Phone/Fax
| Phone: | 9496325442 |
| Fax: |
Provider Mailing Location
6450 TOPMAST DR
CARLSBAD
CA
920111252
Provider Mailing Phone/Fax
| Phone: | 9496325442 |
| Fax: |