Individual
STEPHANIE NICOLE MORLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2636 TUSCALOOSA ST, SAN DIEGO, CA 92110-4266
(910) 986-3514
Mailing address
2636 TUSCALOOSA ST, SAN DIEGO, CA 92110-4266
(910) 986-3514
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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