DELOY ANTONIO SHAW

FPO, AE
NPI1346400173
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-06-16
Last Update Date2008-06-16
Business Address
-- DELOY ANTONIO SHAW IDC
MWSS 274 2D MAW UNIT 78107
FPO, AE 09509-8107
Phone number: 252-466-4521
Mailing Address
-- DELOY ANTONIO SHAW IDC
MWSS 274 2D MAW PSC BOX 8079
FPO, AE 09509-8107
Phone number: