Individual
MR. JOHN K HOUSINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(608) 449-5583
Mailing address
187 BRIDLEWOOD DR, JACKSONVILLE, NC 28540-9101
(608) 449-5583
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
11/27/2023
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