BRYAN JUDSON SMITH

SAN DIEGO, CA
NPI1457633711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
MR. BRYAN JUDSON SMITH DIVE IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-6064
Mailing Address
MR. BRYAN JUDSON SMITH DIVE IDC
62468 HIGHWAY 49
LINEVILLE, AL 36266-4923
Phone number: 240-478-1870
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