Individual
JOSHUA DAVID THORNBLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3229 BEBAS LN, SAN DIEGO, CA 92123-2036
(619) 952-2447
Mailing address
3229 BEBAS LN, SAN DIEGO, CA 92123-2036
(619) 952-2447
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
06/10/2025
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