CHARLES STANLEY SKAGGS

SAN DIEGO, CA
NPI1366941015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-02-08
Last Update Date2018-02-08
Business Address
CHARLES STANLEY SKAGGS IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
CHARLES STANLEY SKAGGS IDC
3196 TAUSSIG ST
SAN DIEGO, CA 92124-3635
Phone number: 843-367-4763
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