FREDERICK ROY NOVELLA

SAN DIEGO, CA
NPI1407359763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-03-13
Last Update Date2018-03-13
Business Address
Mr. FREDERICK ROY NOVELLA SFIDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 415-269-7130
Mailing Address
Mr. FREDERICK ROY NOVELLA SFIDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number:
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