Individual
MR. TIMOTHY WILLIAM NEWMAN I
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY COR
Contact information
Practice address
10353 SAN DIEGO MISSION RD, APT C219, SAN DIEGO, CA 92108-2136
(619) 886-1454
Mailing address
10353 SAN DIEGO MISSION RD, APT C219, SAN DIEGO, CA 92108-2136
(619) 886-1454
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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