Individual
SETH T. SECREASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL CLINIC PORT HUENEME, 162 1ST ST, PORT HUENEME, CA 93043-0001
(619) 522-6195
Mailing address
162 1ST ST, PORT HUENEME, CA 93043-2507
(858) 776-4022
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
01/26/2010
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