Individual
MATTHEW ALAN WERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(757) 582-3904
Mailing address
2827 BELKNAP WAY, SAN DIEGO, CA 92106-6404
(757) 582-3904
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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