CHASE SPEED

SAN DIEGO, CA
NPI1609301134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: SC  100134047)
Enumeration Date2017-04-21
Last Update Date2017-04-21
Business Address
-- CHASE SPEED IDC
1440 HOTEL CIR N APT 467
SAN DIEGO, CA 92108-2906
Phone number: 803-378-1205
Mailing Address
-- CHASE SPEED IDC
1440 HOTEL CIR N APT 467
SAN DIEGO, CA 92108-2906
Phone number:
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