MATTHEW BAUER

SAN DIEGO, CA
NPI1518374719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2014-07-20
Last Update Date2014-07-20
Business Address
MATTHEW BAUER
3055 MINUTEMAN ST
SAN DIEGO, CA 92124-3624
Phone number: 860-639-7824
Mailing Address
MATTHEW BAUER
3055 MINUTEMAN ST
SAN DIEGO, CA 92124-3624
Phone number: 860-639-7824