Organization
9FIVERS LLC
Active
Other names
9FIVE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN CRADDUCK (COO)
(619) 254-5523
Entity
Organization
Contact information
Practice address
2163 LOGAN AVE, SAN DIEGO, CA 92113-2203
(619) 482-9595
Mailing address
2163 LOGAN AVE, SAN DIEGO, CA 92113-2203
(619) 482-9595
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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