Organization
MEDDAC-WACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITSA IRBY (LPN)
(760) 380-7343
Entity
Organization
Contact information
Practice address
5092 SUPERIOR VALLEY CT # B, FORT IRWIN, CA 92310-2046
(760) 386-8320
Mailing address
5092 SUPERIOR VALLEY CT # B, FORT IRWIN, CA 92310-2046
(760) 386-8320
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
PN5167255
FL
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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