WILLIAM KOGIRO FULLWOOD

FPO, AP
NPI1225243256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-05-12
Last Update Date2018-01-23
Business Address
WILLIAM KOGIRO FULLWOOD idc
USS TARAWA LHA 1 MEDICAL DEPARTMENT
FPO, AP 96622 1600
Phone number: 619-556-3980
Mailing Address
WILLIAM KOGIRO FULLWOOD idc
2841 RENDOVA RD # CODEN01H
SAN DIEGO, CA 92155-5490
Phone number: 619-437-2860