ANDREW HASTON

SAN DIEGO, CA
NPI1861934531
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2016-11-13
Last Update Date2016-11-13
Business Address
-- ANDREW HASTON IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968
Mailing Address
-- ANDREW HASTON IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968