Individual
MR. EDWARD HOURICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3325 SENN RD, SAN DIEGO, CA 92136-5029
(858) 717-6041
Mailing address
6676 AND HALF ANTIGUA BLVD, SAN DIEGO, CA 92124
(858) 717-6041
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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