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Individual

MR. DAVID RAYMOND DITMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
USS CALIFORNIA (SSN 781), SUPERVISOR OF SHIPBUILDING, CONVERSION& REPAIR, USN, NEWPORT NEWS, VA 23607
(757) 688-6556
Mailing address
3909 MONTEREY CT, CHESAPEAKE, VA 23321-2054

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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