| NPI |
Provider Name |
Address |
Type |
| 1780920165 | CHRISTIAN RICHARD FLOHR, NAVY DIVE IDC | 1498 13TH ST
BLDG 193
IMPERIAL BEACH, CA
ZIP 91932
Phone: (619) 437-9845
| Individual |
| 1841594942 | MR. BENEDICT JOVELLANO JACOB | 1 HOOPER BLVD
IMPERIAL BEACH, CA
ZIP 91932
Phone: (619) 628-8447
| Individual |
| 1528413218 | NICHOLAS JURSKI, IDC | 1498 13TH ST
NOLF BLDG 193
IMPERIAL BEACH, CA
ZIP 91932
Phone: (419) 343-6268
| Individual |
| 1598394975 | JORDAN KNOPPERT, IDC | 1498 13TH STREET
NOLF BLDG 193
IMPERIAL BEACH, CA
ZIP 91932
Phone: (619) 437-9845
| Individual |
| 1790248375 | SHANE S O'BRIEN, DEEP SEA DIVING IDC | 842 GEORGIA ST
IMPERIAL BEACH, CA
ZIP 91932
Phone: (619) 869-1952
| Individual |
| 1528365095 | MS. TAMARA DEE THACKER, IDC | 1128 EMORY ST
IMPERIAL BEACH, CA
ZIP 91932
Phone: (619) 948-5154
| Individual |