Individual
PARIS MICHAEL GANDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(808) 940-2620
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(808) 940-2620
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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