GENESISJAMES BASILIO DIZON

CAMP PENDLETON, CA
NPI1033541966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-08-01
Last Update Date2025-12-05
Business Address
Mr. GENESISJAMES BASILIO DIZON SFIDC
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Phone number: 818-454-1131
Mailing Address
Mr. GENESISJAMES BASILIO DIZON SFIDC
162 1ST ST
PORT HUENEME, CA 93043-4316
Phone number: 818-454-1131
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