Individual
KYLE BODE FRANCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3149 MURRAY RIDGE RD, SAN DIEGO, CA 92123-2917
(530) 524-7113
Mailing address
3149 MURRAY RIDGE RD, SAN DIEGO, CA 92123-2917
(530) 524-7113
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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