JOHN C. DEVINE

PORT CANAVERAL, FL
NPI1659598274
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
-- JOHN C. DEVINE
CGC VIGILANT (WMEC-617) 9235 GROUPER ROAD
PORT CANAVERAL, FL 32920
Phone number: 321-853-7176
Mailing Address
-- JOHN C. DEVINE
CGC VIGILANT (WMEC-617) 9235 GROUPER ROAD
PORT CANAVERAL, FL 32920
Phone number: 321-853-7176