Individual
MS. KELLIE LYNN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
NAVAL SCHOOL OF HEALTH SCIENCES, 34101 FARENHOLT AVE, BLD 14, SAN DIEGO, CA 92134
(619) 532-6094
Mailing address
1235 AGUIRRE DR, CHULA VISTA, CA 91910-8176
(619) 392-8754
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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