Individual
NATHANAEL LEE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(619) 532-6233
Mailing address
3809 CARIBOU CT, VIRGINIA BEACH, VA 23456-4939
(757) 570-2266
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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