Individual
MATTHEW AARON POORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(619) 532-7968
Mailing address
325 7TH AVE UNIT 808, SAN DIEGO, CA 92101-7179
(407) 818-8193
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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