Justin Benton Daugherty, IDC
Justin Benton Daugherty, IDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
3124 Salmon StSan Diego, CA 92124-3605
Phone: (402) 699-7774
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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 | 1992100911 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | November 3, 2014 |
| Last updated in NPPES | November 3, 2014 |
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