TIMOTHY WAYNE SEFA

SAN DIEGO, CA
NPI1851587075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-09-20
Last Update Date2007-09-20
Business Address
Mr. TIMOTHY WAYNE SEFA IDC
35000 GUADALCANAL AVE
SAN DIEGO, CA 92140-5599
Phone number: 619-524-8307
Mailing Address
Mr. TIMOTHY WAYNE SEFA IDC
10264 WADDELL CIR
SAN DIEGO, CA 92124-2934
Phone number: 858-571-7402
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