Individual
MATTHEW CORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
4017 VIVIAN ST, SAN DIEGO, CA 92115-6821
(949) 547-0660
Mailing address
4017 VIVIAN ST, SAN DIEGO, CA 92115-6821
(949) 547-0660
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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