BRADLEY JAMES ALLIS

SAN DIEGO, CA
NPI1881167963
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-01-10
Last Update Date2019-01-10
Business Address
BRADLEY JAMES ALLIS IDC
10229 BORDELON ST
SAN DIEGO, CA 92124-3206
Phone number: 209-401-0915
Mailing Address
BRADLEY JAMES ALLIS IDC
10229 BORDELON ST
SAN DIEGO, CA 92124-3206
Phone number: 209-401-0915