ALONZO JAMELLE SHIELDS

TWENTYNINE PALMS, CA
NPI1013267996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: AL  7244689)
Enumeration Date2012-09-18
Last Update Date2012-09-18
Business Address
-- ALONZO JAMELLE SHIELDS IDC
REGIMENTAL AID STATION 7TH MARINE HQ RAS
TWENTYNINE PALMS, CA 92278
Phone number: 334-370-7078
Mailing Address
-- ALONZO JAMELLE SHIELDS IDC
BOX 788-260 2ND MARINE REGIMENT STATION
TWENTYNINE PALMS, CA 92278-8266
Phone number: 334-370-7078
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