Individual
ANDREW TYSON HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
I.D.C
Contact information
Practice address
162 1ST ST, PORT HUENEME, CA 93043-4316
(805) 982-6343
Mailing address
162 1ST ST, PORT HUENEME, CA 93043-4316
(805) 982-6343
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
07/07/2016
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