Individual
MR. ADAM M OSTRANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
8309 KRENZ ST, SAN DIEGO, CA 92123-2022
(619) 858-1426
Mailing address
8309 KRENZ ST, SAN DIEGO, CA 92123-2022
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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