MATTHEW IAN HONAN

SAN DIEGO, CA
NPI1659926293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-08-08
Last Update Date2019-08-08
Business Address
MATTHEW IAN HONAN IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
MATTHEW IAN HONAN IDC
10112 VOGE ST
SAN DIEGO, CA 92124-3636
Phone number: