Individual
ROBERT DEAN FICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1281 9TH AVE UNIT 1714, SAN DIEGO, CA 92101-4661
(207) 475-5303
Mailing address
1281 9TH AVE UNIT 1714, SAN DIEGO, CA 92101-4661
(207) 475-5303
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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