PAUL RICKY ENA

CAMP PENDLETON, CA
NPI1649447244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-05-13
Last Update Date2013-08-30
Business Address
-- PAUL RICKY ENA IDC
BLDG 13129, 14 TH ST
CAMP PENDLETON, CA 92055
Phone number: 760-725-2194
Mailing Address
-- PAUL RICKY ENA IDC
NHCP BLDG H-100 SANTA MARGARITA RD
CAMP PENDLETON, CA 92055
Phone number: 760-763-6529