PATRICK MCTAVISH

SAN DIEGO, CA
NPI1427583947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: CA  D8600867)
Enumeration Date2017-04-21
Last Update Date2017-04-21
Business Address
-- PATRICK MCTAVISH IDC
3781 ATLAS ST
SAN DIEGO, CA 92111-4353
Phone number: 805-479-8828
Mailing Address
-- PATRICK MCTAVISH IDC
3781 ATLAS ST
SAN DIEGO, CA 92111-4353
Phone number: 805-479-8828
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