JACOB JULIAN WIGDORSKI

SAN DIEGO, CA
NPI1407608615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
JACOB JULIAN WIGDORSKI IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-5109
Mailing Address
JACOB JULIAN WIGDORSKI IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-5109