Individual
MR. KIMO GREG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
BLD 601 MCCAIN BLDG, BRANCH MEDICAL CLINIC NAVAL BASE CORONADO, SAN DIEGO, CA 92135-7046
(619) 545-8229
Mailing address
BLDG 601 MCCAIN BLVD, BRANCH MEDICAL CLINIC NAVAL BASE CORONADO, SAN DIEGO, CA 92135-7046
(619) 545-8229
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
01/22/2009
Last updated
05/07/2010
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