Individual provider · NPI-1
Mykal Deidre Finch, IDC
Military Transport, Military or U.S. Coast Guard Ambulance, Water Transport · San Diego, CA
NPI number1629619390
StatusActive
Last updated in NPPESOct 3, 2019
Details
- NPI
- 1629619390
- Entity type
- Individual (NPI-1)
- Name
- Mykal Deidre Finch
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2019
- Last updated
- Oct 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3418M1130X | Military Transport, Military or U.S. Coast Guard Ambulance, Water Transport | – | – | Yes |
Practice location
222 J St # 432San Diego, CA 92101-6825
Phone 803-220-5334
Mailing address
222 J St # 432San Diego, CA 92101-6825
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.