Individual
MR. NATHAN HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
8538 LARKDALE AVE, SAN DIEGO, CA 92123-2050
(760) 586-4884
Mailing address
8538 LARKDALE AVE, SAN DIEGO, CA 92123-2050
(760) 586-4884
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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