Individual
CHARLES LUKE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 BETA CT, SAN DIEGO, CA 92126-7060
(504) 220-8607
Mailing address
1675 BETA CT, SAN DIEGO, CA 92126-7060
(504) 220-8607
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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