Individual
MR. RYAN JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
10191 HOOPER ST, SAN DIEGO, CA 92124-3510
(760) 297-0490
Mailing address
10191 HOOPER ST, SAN DIEGO, CA 92124-3510
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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