JEREMY L. WEST

SAN DIEGO, CA
NPI1316172752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: CA  17011002x)
Enumeration Date2009-05-28
Last Update Date2009-05-28
Business Address
-- JEREMY L. WEST IDC
2534 TRIDENT WAY
SAN DIEGO, CA 92155-5493
Phone number: 619-437-2544
Mailing Address
-- JEREMY L. WEST IDC
2534 TRIDENT WAY
SAN DIEGO, CA 92155-5493
Phone number: 619-437-2544
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