SCOTT LAWRENCE TEAHAN

JACKSONVILLE, NC
NPI1578841771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-07-22
Last Update Date2011-07-22
Business Address
-- SCOTT LAWRENCE TEAHAN SFIDC
101 PULLER DR
JACKSONVILLE, NC 28540-6228
Phone number: 775-691-6458
Mailing Address
-- SCOTT LAWRENCE TEAHAN SFIDC
101 PULLER DR
JACKSONVILLE, NC 28540-6228
Phone number: 775-691-6458