JOSHUA ROMAN SMITH

SAN DIEGO, CA
NPI1285931741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-02-18
Last Update Date2011-02-18
Business Address
Mr. JOSHUA ROMAN SMITH IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-6233
Mailing Address
Mr. JOSHUA ROMAN SMITH IDC
7 LARSON ST
PROCTOR, VT 05765-1306
Phone number: 850-625-8717