Individual
RYAN MICHAEL HEMBREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAV MOB CONST BATT 5, 2600 DODSON ST STE 3, PORT HUENEME, CA 93043-4432
(805) 989-3315
Mailing address
3523 N OXNARD BLVD, OXNARD, CA 93036-5480
(904) 612-1439
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105810721
DOD ID
—
Enumeration date
10/25/2021
Last updated
07/12/2022
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