Search › California › 171000000X
Shane O'Brien, DEEP SEA DIVING IDC
NPI 1790248375 · on the registry since 2019 · sole proprietor
Practice
- Address
- 842 Georgia St
Imperial Beach, CA 91932 - Phone
- (619) 869-1952
Registry record
- Primary taxonomy
- 171000000X
171000000X
- Sex
- Male
- Record last updated
- 2019-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California