BRADLEY MICHAEL WITHERELL

SAN DIEGO, CA
NPI1487161816
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-01-08
Last Update Date2018-01-08
Business Address
BRADLEY MICHAEL WITHERELL
34101 BUILDING 14, FARENHOLT AVENUE
SAN DIEGO, CA 92134-0001
Phone number: 985-855-1160
Mailing Address
BRADLEY MICHAEL WITHERELL
34101 BUILDING 14, FARENHOLT AVENUE
SAN DIEGO, CA 92134-0001
Phone number:
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