NICHOLAS EDWARD BROOKY

SAN DIEGO, CA
NPI1417570037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-05-19
Last Update Date2020-05-19
Business Address
NICHOLAS EDWARD BROOKY
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
NICHOLAS EDWARD BROOKY
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400