Individual
JEREMY URBANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
656 DOGWOOD CT S, OCEANSIDE, CA 92058-6655
(317) 502-7701
Mailing address
656 DOGWOOD CT S, OCEANSIDE, CA 92058-6655
(317) 502-7701
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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