Individual
MR. TRISTAN DAVID CAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DIVE IDC
Contact information
Practice address
915 57TH ST, SAN DIEGO, CA 92114-1205
(619) 527-2815
Mailing address
915 57TH ST, SAN DIEGO, CA 92114-1205
(619) 527-2815
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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