MICAH ALLEN CAMPBELL

SAN DIEGO, CA
NPI1306610167
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-11-13
Last Update Date2023-11-13
Business Address
MICAH ALLEN CAMPBELL SFIDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
MICAH ALLEN CAMPBELL SFIDC
3204 PEPPERGRASS DR
SAN DIEGO, CA 92115-8228
Phone number: 740-357-3811
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