Individual
MR. SEAN MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 KEARNY MESA RD, SAN DIEGO, CA 92111-1303
(619) 717-2363
Mailing address
5400 KEARNY MESA RD, SAN DIEGO, CA 92111-1303
(619) 717-2363
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-LBPJIW
CA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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