Individual
LUIS ALBERTO NECOECHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST RECON BN BAS, OCEANSIDE, CA 92055
(619) 646-0333
Mailing address
3240 W SHUMWAY FARM RD, PHOENIX, AZ 85041-6316
(619) 646-0333
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/16/2020
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