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Individual

MORGAN BRIAN MCELWEE-DUHAMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8717 FLETCHER PKWY APT 351, LA MESA, CA 91942-3243
(619) 251-4680
Mailing address
2422 MELBOURNE DR, SAN DIEGO, CA 92123-3532
(858) 395-6659

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E3487376
DRIVER LICENSE
CA
Enumeration date
11/05/2019
Last updated
11/05/2019
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