| NPI | 1770877136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY SAIZ Instructor 619-532-9427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1710I1002X Military Health Care Provider, Independent Duty Corpsman |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |