Individual
DON E. SEASTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2540 KOA AVE, MORRO BAY, CA 93442-1708
(805) 772-2169
Mailing address
2540 KOA AVE, MORRO BAY, CA 93442-1708
(805) 772-2169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
450476-06
CA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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