NATHANIEL AMOS LEE HENDERSON

SAN DIEGO, CA
NPI1174364350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-06-03
Last Update Date2024-06-03
Business Address
NATHANIEL AMOS LEE HENDERSON
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 980-253-5771
Mailing Address
NATHANIEL AMOS LEE HENDERSON
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: