Individual
MICHAEL WAYNE MCGUIRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NAVY SFIDC
Contact information
Practice address
4749 67TH ST APT B, SAN DIEGO, CA 92115-2935
(602) 690-3145
Mailing address
4749 67TH ST APT B, SAN DIEGO, CA 92115-2935
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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