PETER WYSOCKI

SAN DIEGO, CA
NPI1801446836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
Mr. PETER WYSOCKI IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
Mr. PETER WYSOCKI IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400