BENJAMIN JACOB LIFTO

TRAVIS AFB, CA
NPI1457654055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2010-12-21
Last Update Date2010-12-21
Business Address
Mr. BENJAMIN JACOB LIFTO IDMT
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-208-1292
Mailing Address
Mr. BENJAMIN JACOB LIFTO IDMT
682 VALLEY VIEW WAY
TRAVIS AFB, CA 94535-1160
Phone number: 707-208-1292