Individual
MR. JESSE DANIEL OSTERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
BLDG 4101 1ST RECONNAISSANCE BAS, 41 AREA, LAS FLORES, CAMP PENDELTON, CA 92055-5584
(760) 725-8912
Mailing address
1510 S HILL AVE, FALLBROOK, CA 92028-4049
(630) 745-7045
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/02/2021
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