Individual
COLTON ESTEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1355 NICOLETTE AVE UNIT 1322, CHULA VISTA, CA 91913-3980
(740) 550-3099
Mailing address
1355 NICOLETTE AVE UNIT 1322, CHULA VISTA, CA 91913-3980
(740) 550-3099
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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