ALLEN JAMES LAHEIST

SAN DIEGO, CA
NPI1871560284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-03-03
Last Update Date2007-07-08
Business Address
Mr. ALLEN JAMES LAHEIST idc
140 SYLVESTER RD
SAN DIEGO, CA 92106-3521
Phone number: 619-553-0838
Mailing Address
Mr. ALLEN JAMES LAHEIST idc
39837 WESTERN JAY WAY
MURRIETA, CA 92562-4668
Phone number: 619-553-0838