Individual
ANTHONY LEVEQUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
I.D.C.
Contact information
Practice address
1780 TRUXTUN RD, SAN DIEGO, CA 92106-6455
(740) 821-3819
Mailing address
1780 TRUXTUN RD, SAN DIEGO, CA 92106-6455
(740) 821-3819
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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