Individual
NATASHIA LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2446 TRIDENT WAY, SAN DIEGO, CA 92155-5494
(619) 537-2055
Mailing address
2446 TRIDENT WAY, SAN DIEGO, CA 92155-5494
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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