Individual
RYAN MARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3170 DEERFLOWER RD, SAN DIEGO, CA 92115-7288
(936) 443-7078
Mailing address
3170 DEERFLOWER RD, SAN DIEGO, CA 92115-7288
(936) 443-7078
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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