Individual
MR. ISAIAS C SUAREZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
3325 SENN RD, BLDG 55 RM 228, SAN DIEGO, CA 92136-5029
(757) 201-4736
Mailing address
2713 SAWYERS ARCH, CHESAPEAKE, VA 23323-1764
(757) 201-4736
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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