JOSEPH ROMAN SHIELDS

SAN DIEGO, CA
NPI1497280929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: OH  SP409958)
Enumeration Date2017-04-21
Last Update Date2017-04-21
Business Address
-- JOSEPH ROMAN SHIELDS IDC
3166 BARNETT AVE
SAN DIEGO, CA 92110-4204
Phone number: 619-876-6546
Mailing Address
-- JOSEPH ROMAN SHIELDS IDC
3166 BARNETT AVE
SAN DIEGO, CA 92110-4204
Phone number: 619-876-6546
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