JUSTIN MEL MILLARD

CHULA VISTA, CA
NPI1053690610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-08-12
Last Update Date2011-08-12
Business Address
Mr. JUSTIN MEL MILLARD IDC
825 E PALOMAR ST
CHULA VISTA, CA 91911-6992
Phone number: 619-204-4732
Mailing Address
Mr. JUSTIN MEL MILLARD IDC
825 E PALOMAR ST
CHULA VISTA, CA 91911-6992
Phone number: 619-204-4732