TIMOTHY RYAN EDGAR

SAN DIEGO, CA
NPI1184059578
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: CA  D6476308)
Enumeration Date2013-09-04
Last Update Date2013-09-04
Business Address
-- TIMOTHY RYAN EDGAR IDC
3883 INGRAHAM ST APT #U309
SAN DIEGO, CA 92109-6433
Phone number: 559-975-5651
Mailing Address
-- TIMOTHY RYAN EDGAR IDC
3883 INGRAHAM ST APT #U309
SAN DIEGO, CA 92109-6433
Phone number: 559-975-5651
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