MATTHEW HART

SAN DIEGO, CA
NPI1508417510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2019-09-23
Last Update Date2019-09-23
Business Address
MR. MATTHEW HART
3400 BOB WILSON DRIVE
SAN DIEGO, CA 92134-0001
Phone number: 912-547-4013
Mailing Address
MR. MATTHEW HART
6829 GA HIGHWAY 17 S
BLOOMINGDALE, GA 31302-4610
Phone number: 912-547-4013