TAYLOR SCOTT LARSON

SAN DIEGO, CA
NPI1447801428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-09-22
Last Update Date2019-09-22
Business Address
TAYLOR SCOTT LARSON
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
TAYLOR SCOTT LARSON
PSC 851 BOX 340
FPO, AE 09834-0004
Phone number: