CORY SHANE HOPPER

SAN DIEGO, CA
NPI1255883567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2016-11-03
Last Update Date2016-11-03
Business Address
Mr. CORY SHANE HOPPER
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-9712
Mailing Address
Mr. CORY SHANE HOPPER
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-9712