MICHAEL LEENARD SHEPHERD

SAN DIEGO, CA
NPI1104235431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-08-12
Last Update Date2014-08-12
Business Address
Mr. MICHAEL LEENARD SHEPHERD IDC
8266 STATION VILLAGE LN APT 2601
SAN DIEGO, CA 92108-5590
Phone number: 336-477-4274
Mailing Address
Mr. MICHAEL LEENARD SHEPHERD IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number:
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