JOHN MICHAEL CONNELLY

SAN DIEGO, CA
NPI1659873305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-03-07
Last Update Date2018-03-07
Business Address
JOHN MICHAEL CONNELLY IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 717-856-1894
Mailing Address
JOHN MICHAEL CONNELLY IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 717-856-1894