DAVID LAYNE ROSE

SAN DIEGO, CA
NPI1811392715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-11-04
Last Update Date2014-11-04
Business Address
-- DAVID LAYNE ROSE IDC
2531 RIDGE VIEW DR
SAN DIEGO, CA 92105-4853
Phone number: 269-503-0912
Mailing Address
-- DAVID LAYNE ROSE IDC
2531 RIDGE VIEW DR
SAN DIEGO, CA 92105-4853
Phone number: 269-503-0912