Individual
FLETCHER CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
719 ERICA STREET, ESCONDIDO, CA 92027
(760) 458-7992
Mailing address
719 ERICA STREET, ESCONDIDO, CA 92027
(760) 458-7992
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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