Individual
MR. JOSHUA DEWAYNE ALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(479) 461-4954
Mailing address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(479) 461-4954
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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