COY DYLAN PARKER

SAN DIEGO, CA
NPI1669039798
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
COY DYLAN PARKER INDEPENDENT DUTY COR
SURFACE WARFARE MEDICAL INSTITUTE 34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Phone number: 619-532-6659
Mailing Address
COY DYLAN PARKER INDEPENDENT DUTY COR
11439 MADERA ROSA WAY
SAN DIEGO, CA 92124
Phone number: 949-295-8153