Individual
KEVIN FRANKLIN POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
45 E 12TH ST UNIT 406, NATIONAL CITY, CA 91950-3315
(619) 292-1669
Mailing address
45 E 12TH ST, NATIONAL CITY, CA 91950-3301
(619) 292-1669
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
8976508
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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