Individual
JAMES MICHAEL SITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
USS SHOUP DDG 86, SAN DIEGO, CA 92115
(850) 485-4984
Mailing address
DDG 86 USS SHOUP, FPO, AA 92115
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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