MR. Justin Mel Millard, IDC

NPI #1053690610 in Chula Vista, California

Provider Information

NPI Number
1053690610
Entity Type
Individual
Name
MR. Justin Mel Millard, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Aug 12, 2011
Last Updated
Aug 12, 2011

Practice Location

Address
825 E PALOMAR ST
ZIP Code
91911-6992
Phone
(619) 204-4732

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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