JAMES EDWIN EWEN

SAN DIEGO, CA
NPI1083466296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
JAMES EDWIN EWEN
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 541-270-6786
Mailing Address
JAMES EDWIN EWEN
PO BOX 112
PALOMAR MOUNTAIN, CA 92060-0112
Phone number: 541-270-6786