Individual
MATTHEW PATRICK MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
US NAVY IDC
Contact information
Practice address
CHAPPO MCMH, BLDG 22190 10TH ST, OCEANSIDE, CA 92058
(760) 725-3784
Mailing address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
04/17/2024
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