Individual
MR. ANDY BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY HM
Contact information
Practice address
17144 RUETTE CAMPANA, SAN DIEGO, CA 92128-2021
(619) 884-0295
Mailing address
17144 RUETTE CAMPANA, SAN DIEGO, CA 92128-2021
(619) 884-0295
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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