SAMUEL ANTHONY WONSANG

CLEARWATER, FL
NPI1568153773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-05-18
Last Update Date2023-05-18
Business Address
SAMUEL ANTHONY WONSANG IDHS
15100 RESCUE WAY
CLEARWATER, FL 33762-3502
Phone number: 727-535-1437
Mailing Address
SAMUEL ANTHONY WONSANG IDHS
15100 RESCUE WAY
CLEARWATER, FL 33762-3502
Phone number: 727-535-1437