Individual
MARIOS POTAMITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2195 STATION VILLAGE WAY, APARTMENT #1406, SAN DIEGO, CA 92108-6514
(760) 908-8094
Mailing address
1295 STATION VILLAGE WAY, APARTMENT #1406, SAN DIEGO, CA 92108
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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