PHILLIP JOHN BAINS

SAN DIEGO, CA
NPI1356843031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
Mr. PHILLIP JOHN BAINS IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-419-8870
Mailing Address
Mr. PHILLIP JOHN BAINS IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-419-8870