Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 55214 | MN |
NPI | 1003102567 |
---|---|
Provider Name | Dr. Jennifer N Bartlotti Telesz |
First Address | Temecula, CA 92592-9209 |
Second Address | Temecula, CA 92592-9209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 27/10/2018 |