Individual
NELSON JOSE MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
33000 NIXIE WAY, BLDG.#50, STE.#245, SAN DIEGO, CA 92147-5101
(619) 524-5137
Mailing address
1150 CANARY CT, SAN MARCOS, CA 92078-1302
(611) 984-3644
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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