ADAM CLAY WILD

SAN DIEGO, CA
NPI1871059493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-02-19
Last Update Date2019-02-19
Business Address
ADAM CLAY WILD
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
ADAM CLAY WILD
767 COLON RD
GRAND RIVERS, KY 42045-9105
Phone number:
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