KENNETH EDWARD SIEBERT

SAN DIEGO, CA
NPI1275152654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-04-15
Last Update Date2020-04-15
Business Address
KENNETH EDWARD SIEBERT IDC
4831 SHIELDS ST
SAN DIEGO, CA 92124-2930
Phone number: 619-332-9330
Mailing Address
KENNETH EDWARD SIEBERT IDC
4831 SHIELDS ST
SAN DIEGO, CA 92124-2930
Phone number: 619-332-9330
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