Individual
MR. KEITH FRANCIS ETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-1098
(619) 524-5693
(619) 524-9207
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 524-5396
(619) 524-9207
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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