Individual
AARON WICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3632 TULAGI ROAD, CORONADO, CA 92118
(619) 545-7413
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-3165
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
05/13/2024
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