MORRELL J LAVENDER

SAN DIEGO, CA
NPI1629033907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-04-19
Last Update Date2008-01-10
Business Address
Mr. MORRELL J LAVENDER
2650 STOCKTON RD BLDG 624 NAVAL TRAINING CENTER
SAN DIEGO, CA 92106-6000
Phone number: 619-524-5733
Mailing Address
Mr. MORRELL J LAVENDER
2650 STOCKTON RD BLDG 624 NAVAL TRAINING CENTER
SAN DIEGO, CA 92106-6000
Phone number: 619-524-5733