Individual
SEAN COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3815 3RD AVE APT 23, SAN DIEGO, CA 92103-3078
(425) 429-5655
Mailing address
3815 3RD AVE APT 23, SAN DIEGO, CA 92103-3078
(425) 429-5655
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
03/17/2021
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