Individual
JUSTIN ODERKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 HENDERSON AVE, BLDG 310, SAN DIEGO, CA 92140
(619) 524-8673
Mailing address
1650 HENDERSON AVE, BLDG 310, SAN DIEGO, CA 92140
(619) 524-8673
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1662309
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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