Individual
CARL A NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY HM
Contact information
Practice address
630 THUNDER GLN, ESCONDIDO, CA 92027-3976
(703) 906-8615
Mailing address
630 THUNDER GLN, ESCONDIDO, CA 92027-3976
(703) 906-8615
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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