KRISTIAN FERDINAND DIZON

SAN DIEGO, CA
NPI1992597546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2025-05-20
Last Update Date2025-05-20
Business Address
KRISTIAN FERDINAND DIZON
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 925-813-5657
Mailing Address
KRISTIAN FERDINAND DIZON
8488 NEW SALEM ST UNIT 68
SAN DIEGO, CA 92126-2339
Phone number: 925-813-5657