Individual
ZACHERY RYAN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1445 K ST APT 335, SAN DIEGO, CA 92101-8669
(407) 705-9977
Mailing address
1445 K ST APT 335, SAN DIEGO, CA 92101-8669
(407) 705-9977
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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