Individual
JAMES MICHAEL MISKIMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(757) 773-4258
Mailing address
811 W 28TH ST, NORFOLK, VA 23508-3001
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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