Individual
MICHAEL AYLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BUILDING 4130077 EAST MARSOC, 1ST MARINE SPECIAL OPERATIONS BATTALION MEDICAL, CAMP PENDLETON, CA 92055
(760) 725-5298
Mailing address
BOX 555341, 1ST MARINE SPECIAL OPERATIONS BATTALION MEDICAL, CAMP PENDLETON, CA 92055
(760) 725-5298
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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