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Individual

DAVID MICHAEL SOLIANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
BLD 4101 STUART MESA ROAD, CAMP PENDLETON, CA 92055-5584
(760) 390-9244
Mailing address
168 HAMILTON ST, OCEANSIDE, CA 92058-7720
(860) 307-5538

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
04204038DS

Other

Enumeration date
10/21/2020
Last updated
10/21/2020
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