CHARLES J. FAVELA

KEY WEST, FL
NPI1528257938
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-10-22
Last Update Date2007-10-22
Business Address
-- CHARLES J. FAVELA
100 TRUMBO POINT
KEY WEST, FL 33040-6695
Phone number: 305-292-8883
Mailing Address
-- CHARLES J. FAVELA
100 TRUMBO POINT
KEY WEST, FL 33040-6695
Phone number:
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