SANQUELA DEONA GRESHAM

SAN DIEGO, CA
NPI1043921711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2022-12-13
Last Update Date2023-05-25
Business Address
SANQUELA DEONA GRESHAM IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 706-990-9926
Mailing Address
SANQUELA DEONA GRESHAM IDC
5264 BEACHFRONT COVE ST UNIT 217
SAN DIEGO, CA 92154-5251
Phone number: 706-990-9926