Search › California › 1710I1002X
Justin Daugherty, IDC
NPI 1992100911 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3124 Salmon St
San Diego, CA 92124 - Phone
- (402) 699-7774
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2014-11-03
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