Individual
MR. PAUL IAN HARRIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BLDG 14, FARENHOLT AVE, SAN DIEGO, CA 92134-0001
(619) 234-6142
Mailing address
BLDG 14, FARENHOLT AVE, SAN DIEGO, CA 92134-0001
(619) 234-6142
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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