Individual
WARREN JAMES RIFENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
472 CALICO RD, OCEANSIDE, CA 92058-6748
(910) 750-2497
Mailing address
472 CALICO RD, OCEANSIDE, CA 92058-6748
(910) 750-2497
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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