ERIK CHRISTIAN KETELSEN

PORT HUENEME, CA
NPI1093043051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2009-12-01
Last Update Date2009-12-01
Business Address
-- ERIK CHRISTIAN KETELSEN IDC
4653 DOCK RD BLDG 524
PORT HUENEME, CA 93043-4321
Phone number: 619-534-7920
Mailing Address
-- ERIK CHRISTIAN KETELSEN IDC
18 ALISO LN
VENTURA, CA 93001-3214
Phone number:
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