Individual
MICHAEL WARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3325 SENN RD, SAN DIEGO, CA 92136-5029
(760) 401-0661
Mailing address
3325 SENN RD, SAN DIEGO, CA 92136-5029
(760) 401-0661
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
11/20/2019
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