Individual
ZACKARY JAMES SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(619) 532-7968
Mailing address
6514 AMBROSIA DR APT 5317, SAN DIEGO, CA 92124-3135
(661) 670-7803
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/10/2022
Last updated
03/06/2023
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