ELI YOSAIM HERNANDEZ

CAMP LEJEUNE, NC
NPI1639597404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-03-31
Last Update Date2014-03-31
Business Address
-- ELI YOSAIM HERNANDEZ IDC
6 MARINE REGIMENT PSC BOX 20097
CAMP LEJEUNE, NC 28542-0097
Phone number: 910-451-6388
Mailing Address
-- ELI YOSAIM HERNANDEZ IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: