PAUL D LOOMIS

SAN DIEGO, CA
NPI1851461610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
-- PAUL D LOOMIS IDC
NAVAL COASTAL WARFARE GROUP ONE NOLF IB 357140
SAN DIEGO, CA 92135
Phone number: 619-437-9856
Mailing Address
-- PAUL D LOOMIS IDC
2013 CLEARWATER PL
CHULA VISTA, CA 91913-2461
Phone number: