Justin Mel Millard IDC

NPI 1053690610 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1053690610
Gender Male
Enumeration Date 08/12/2011
Last Updated 08/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
825 E PALOMAR ST
CHULA VISTA CA, 91911-6992, US
Phone (619) 204-4732
Fax
Business Location
825 E PALOMAR ST
CHULA VISTA CA, 91911-6992, US
Phone (619) 204-4732
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, Mr. Justin Mel Millard IDC NPI is 1053690610, taxonomy code is 1710I1002X Justin Mel Millard IDC physically located at 825 E Palomar St, Chula Vista CA, 91911-6992. NPI Number Justin Mel Millard IDC has the Individual type.

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1053690610 NPI number is provided on an as is basis without warranty of any kind. 1053690610 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Mel Millard IDC are for informational purposes only.