Individual
SHANE WORLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(757) 375-7598
Mailing address
1558 SAN JAVIER CT # 3, CHULA VISTA, CA 91913-2534
(757) 375-7598
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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