JERRY K ROSHELL

SAN DIEGO, CA
NPI1629410923
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-07-27
Last Update Date2013-07-27
Business Address
Mr. JERRY K ROSHELL
6077 FAUNA DR
SAN DIEGO, CA 92115-8215
Phone number: 414-530-4079
Mailing Address
Mr. JERRY K ROSHELL
6077 FAUNA DR
SAN DIEGO, CA 92115-8215
Phone number: 414-530-4079
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