Individual
MR. TIMOTHY WAYNE SEFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
35000 GUADALCANAL AVE, SAN DIEGO, CA 92140-5599
(619) 524-8307
Mailing address
10264 WADDELL CIR, SAN DIEGO, CA 92124-2934
(858) 571-7402
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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