Individual
JAMES GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DEEP SEA DIVING IDC
Contact information
Practice address
2825 SHOUP DR, SAN DIEGO, CA 92110-4866
(918) 605-1335
Mailing address
2825 SHOUP DR, SAN DIEGO, CA 92110-4866
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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