Bryan Lara Servillon
Bryan Lara Servillon is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000
Phone: (858) 353-1133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1316643539 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 31, 2023 |
| Last updated in NPPES | February 17, 2023 |
| Certification date | February 17, 2023 |
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