Individual
KRISTIAN FERDINAND DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(925) 813-5657
Mailing address
8488 NEW SALEM ST UNIT 68, SAN DIEGO, CA 92126-2339
(925) 813-5657
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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