COREY JEVON BUCHANAN

SAN DIEGO, CA
NPI1710451398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
COREY JEVON BUCHANAN
NAVAL MEDICAL CENTER BALBOA 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134-0001
Phone number: 619-640-0155
Mailing Address
COREY JEVON BUCHANAN
3535 MONROE AVE UNIT 30
SAN DIEGO, CA 92116-3590
Phone number: 361-720-5257