Individual
ANTHONY TREVOR CHENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURFACE IDC
Contact information
Practice address
8236 STATION VILLAGE LN, APARTMENT 1809, SAN DIEGO, CA 92108-5560
(702) 596-1244
Mailing address
8236 STATION VILLAGE LN, APARTMENT 1809, SAN DIEGO, CA 92108-5560
(702) 596-1244
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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