Individual
JOSEPH HUNTER SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE #14, SAN DIEGO, CA 92134
(916) 753-4959
Mailing address
34101 FARENHOLT AVE #14, SAN DIEGO, CA 92134
(916) 753-4959
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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