MARK CONWAY VALENCIA

SAN DIEGO, CA
NPI1619181534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
Mr. MARK CONWAY VALENCIA IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 310-974-2367
Mailing Address
Mr. MARK CONWAY VALENCIA IDC
34101 FARENHOLT AVENUE, BLDG14
SAN DIEGO, CA 92134-5291
Phone number: 310-974-2367