Individual
BRADLEY JAMES ALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
10229 BORDELON ST, SAN DIEGO, CA 92124-3206
(209) 401-0915
Mailing address
10229 BORDELON ST, SAN DIEGO, CA 92124-3206
(209) 401-0915
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
07/08/2024
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