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
CHRISTIAN RALPH REYES
CATHERINE ALYSSA BRAHE
TIFFANY RENEE O'NEAL
JESSICA MEGAN BOVA
MICHAEL LEGASPI
MICHAEL WARDEN
ERIK BRANDON SAUNDERS
WALTER LEVY RUTSCHOW
MICHAEL TREY WIX
SHUNDRYIA WALKER