Individual
KEVIN JAMES TOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST MARINE SPECIAL OPERATIONS BTN., CAMP PENDLETON, CA 92055
(760) 725-2589
Mailing address
BOX 55341, 1ST MARINE SPECIAL OPERATIONS BTN., CAMP PENDLETON, CA 92055
(760) 725-2589
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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