Individual provider · NPI-1

Alan Aaron

Military Health Care Provider, Independent Duty Corpsman · San Diego, CA

NPI number1497298913
StatusActive
Last updated in NPPESDec 1, 2016

Details

NPI
1497298913
Entity type
Individual (NPI-1)
Name
Alan Aaron
Sex
Male
Sole proprietor
No
Enumeration date
Dec 1, 2016
Last updated
Dec 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman––Yes

Practice location

34101 Farenholt Ave
Building 14
San Diego, CA 92134-5291

Phone 619-532-7968

Mailing address

34101 Farenholt Ave
Building 14
San Diego, CA 92134-5291

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