CARLETUS M PATRICK

SAN DIEGO, CA
NPI1013195718
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-02-05
Last Update Date2011-09-06
Business Address
-- CARLETUS M PATRICK IDC
2450 CRAVEN ST
SAN DIEGO, CA 92136-5599
Phone number: 619-556-6081
Mailing Address
-- CARLETUS M PATRICK IDC
1616 SAN BERNARDINO AVE
SPRING VALLEY, CA 91977-4650
Phone number: 619-694-9040