Individual
MEGHAN HALISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
2496 BAUER RD, SAN DIEGO, CA 92145-2051
(858) 577-9619
Mailing address
MARINE AIR CONTROL GROUP 38, BOX 452051, SAN DIEGO, CA 92145-2051
(858) 577-9619
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
08/01/2011
Last updated
09/04/2013
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