Individual
KRISTIAN FRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
1001 S SEASIDE AVE, SAN PEDRO, CA 90731-7333
(310) 694-1679
Mailing address
1001 S SEASIDE AVE, SAN PEDRO, CA 90731-7333
(310) 694-1679
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024407094
UNITED STATES COAST GUARD
CA
Enumeration date
09/24/2021
Last updated
09/24/2021
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