Individual
MARIO TRAVERS ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1767 TORRANCE ST APT 312, SAN DIEGO, CA 92103-2730
(252) 525-1818
Mailing address
1767 TORRANCE ST APT 312, SAN DIEGO, CA 92103-2730
(252) 525-1818
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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