DFAS-JFLL/IN

BELLEVUE, NE
NPI1235539750
Entity TypeOrganization
Authorized ContactMARINA PUENTES
Physician Assistant
210-862-0632
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2014-09-03
Last Update Date2014-09-03
Business Address
DFAS-JFLL/IN
4005 RAYNOR PKWY APT 3316
BELLEVUE, NE 68123-6110
Phone number: 210-862-0632
Mailing Address
DFAS-JFLL/IN
4005 RAYNOR PKWY APT 3316
BELLEVUE, NE 68123-6110
Phone number: 210-862-0632