KEITH ROBERT DAVIS

SAN DIEGO, CA
NPI1689873192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date2007-07-13
Last Update Date2007-07-13
Business Address
KEITH ROBERT DAVIS IDC
140 SYLVESTER RD USS TOPEKA (SSN 754) FPO AP 96679-2410
SAN DIEGO, CA 92106-3521
Phone number: 619-553-0123
Mailing Address
KEITH ROBERT DAVIS IDC
140 SYLVESTER RD USS TOPEKA (SSN 754) FPO AP 96679-2410
SAN DIEGO, CA 92106-3521
Phone number: 619-553-0123