Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY SAIZ JR. IDC (INSTRUCTOR)
(619) 532-9427
Entity
Organization
Contact information
Practice address
34101 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134-5291
(619) 532-9427
Mailing address
926 MERCED RIVER RD, CHULA VISTA, CA 91913-2883
(619) 888-1991
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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