BLAIR ELLIS DELL

CAMP PENDLETON, CA
NPI1053602334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2011-04-21
Last Update Date2011-04-21
Business Address
BLAIR ELLIS DELL SOIDC
1ST MARINE SPECIAL OPERATIONS BATTALION BOX 555341
CAMP PENDLETON, CA 92055
Phone number: 760-725-5298
Mailing Address
BLAIR ELLIS DELL SOIDC
1ST MARINE SPECIAL OPERATIONS BATTALION BOX 555341
CAMP PENDLETON, CA 92055
Phone number: 760-725-5298