Individual
JOSIAH LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 SOUTH ST STE J, SAN LUIS OBISPO, CA 93401-5037
(805) 748-3961
(805) 549-0564
Mailing address
285 SOUTH ST STE J, SAN LUIS OBISPO, CA 93401-5037
(805) 748-3961
(805) 549-0564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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