WAYNE CARLETON JOHNSON

TWENTYNINE PALMS, CA
NPI1639147697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-03-08
Last Update Date2007-07-08
Business Address
-- WAYNE CARLETON JOHNSON IDC
NAVAL HOSPITAL BOX 788250
TWENTYNINE PALMS, CA 92278-8250
Phone number: 760-830-2677
Mailing Address
-- WAYNE CARLETON JOHNSON IDC
3848B WESTSIDE RD
TWENTYNINE PALMS, CA 92277-9407
Phone number: 760-368-2149
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