Individual
JIREH ISAAC COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-6400
Mailing address
6459 REFLECTION DR APT 110, SAN DIEGO, CA 92124-3125
(707) 660-1482
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
06/01/2023
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