Individual
MR. JASON WILLIAM BECKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 708-2068
Mailing address
701 KETTNER BLVD, 18, SAN DIEGO, CA 92101-5908
(619) 708-2068
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
10/16/2009
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