Individual
RYAN HILDEBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-9000
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-9000
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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