Individual
MR. ALBERIA JOSEPH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
PCD SAMPSON (DDG-102), 3975 NORMAN SCOTT RD, SAN DIEGO, CA 92136
(619) 556-3578
Mailing address
1729 MELROSE AVE, #39, CHULA VISTA, CA 91911-6588
(619) 271-9593
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDENT DUTY CORPSMAN
CA
Enumeration date
11/07/2006
Last updated
07/08/2007
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