JUSTIN CORY WALLACE

SAN DIEGO, CA
NPI1114354156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-10-06
Last Update Date2013-10-06
Business Address
-- JUSTIN CORY WALLACE Dive IDC
699 14TH ST
SAN DIEGO, CA 92101-7586
Phone number: 760-845-8116
Mailing Address
-- JUSTIN CORY WALLACE Dive IDC
699 14TH ST
SAN DIEGO, CA 92101-7586
Phone number:
Similar providers in San Diego, CA
DANIEL KIRK FIELD
CAROLINE COX
JOHN RAY HANSON
KENNETH EDWARD SIEBERT
JORGE L ACOSTA
KEVIN SCOTT BERRY GERMAN
JOSEMARI ALONSO MONTES
TAYLOR MARIE ST.CLAIR
CHARLES STANLEY SKAGGS
FELICIA LEANNA ROBERTS