Ivan Mills, IDC
Ivan Mills, IDC is an Independent Duty Corpsman in Bonita, California. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
371 Camino ElevadoBonita, CA 91902-2430
Phone: (404) 889-5310
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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 | 1689044174 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | September 28, 2015 |
| Last updated in NPPES | September 28, 2015 |
| Mailing address | 371 Camino Elevado, Bonita, CA 91902-2430 |
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