Individual
MICHAEL ROLAND BEZOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(360) 471-3810
Mailing address
8725 ARIVA CT APT 702, SAN DIEGO, CA 92123-2482
(360) 471-3810
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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