FRED JOSEPH BRODIE

SAN DIEGO, CA
NPI1649517921
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-01-07
Last Update Date2013-01-07
Business Address
Mr. FRED JOSEPH BRODIE DIVE IDC
2930 TARAWA RD
SAN DIEGO, CA 92155-5198
Phone number: 619-437-5962
Mailing Address
Mr. FRED JOSEPH BRODIE DIVE IDC
2952 WELLINGTON ST
SAN DIEGO, CA 92111-5740
Phone number: 808-554-4533
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