Individual
MR. BILLY L FUSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6656 ANTIGUA BLVD, SAN DIEGO, CA 92124
(678) 644-1007
Mailing address
6656 ANTIGUA BLVD, SAN DIEGO, CA 92124
(678) 644-1007
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
10/08/2015
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