TERRANCE ALEXANDER MAYES

SAN DIEGO, CA
NPI1801239504
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
-- TERRANCE ALEXANDER MAYES IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 404-441-0180
Mailing Address
-- TERRANCE ALEXANDER MAYES IDC
2791 DEERWOOD LN SW
ATLANTA, GA 30331-5584
Phone number: 404-441-0180
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