Individual
MR. ALLEN JAMES LAHEIST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
140 SYLVESTER RD, SAN DIEGO, CA 92106-3521
(619) 553-0838
Mailing address
39837 WESTERN JAY WAY, MURRIETA, CA 92562-4668
(619) 553-0838
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/03/2006
Last updated
07/08/2007
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