PIOTOR JUCHNIEWICZ

PORT HUENEME, CA
NPI1144623448
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-09-30
Last Update Date2014-09-30
Business Address
-- PIOTOR JUCHNIEWICZ IDC
162 1ST ST
PORT HUENEME, CA 93043-4316
Phone number: 312-551-6370
Mailing Address
-- PIOTOR JUCHNIEWICZ IDC
3168 SALMON ST
SAN DIEGO, CA 92124-3616
Phone number: 843-437-5493