WESTLEY WAYNE GORMAN

SAN DIEGO, CA
NPI1871154518
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-06-24
Last Update Date2019-06-24
Business Address
WESTLEY WAYNE GORMAN IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
WESTLEY WAYNE GORMAN IDC
6219 CALLE PAVANA
SAN DIEGO, CA 92139-2329
Phone number: 202-316-2481