MIKE COCKRILL

PORT HUENEME, CA
NPI1861460123
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-03-10
Last Update Date2007-07-08
Business Address
-- MIKE COCKRILL IDC
UNDERWATER CONSTRUCTION TEAM 2 4643 DOCK ROAD, BLDG 524
PORT HUENEME, CA 93043-0001
Phone number: 805-982-2464
Mailing Address
-- MIKE COCKRILL IDC
2609 ABALONE CV
PORT HUENEME, CA 93041-1546
Phone number: 757-575-6336