Most Relevant Information
Provider Data
| NPI Number: | 1003251547 |
| Provider Name: | ATHENA JO DAHLIN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 753786 |
Most Important Dates
| Enumeration Date: | 05/09/2013 |
| Last Updated: | 05/09/2013 |
Provider Practice Location
34800 BOB WILSON DR
SAN DIEGO
CA
921341098
Practice Location Phone/Fax
| Phone: | 6195326365 |
| Fax: |
Provider Mailing Location
11469 CASCADA WAY
SAN DIEGO
CA
921242880
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |