ELSIE PEARL URSUA DY

FORT IRWIN, CA
NPI1881624575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy286500000X Military Hospital
(Licence: WA  LP00056071)
Enumeration Date2006-07-05
Last Update Date2007-07-08
Business Address
-- ELSIE PEARL URSUA DY
5239A PROSPECT CT
FORT IRWIN, CA 92310-2105
Phone number: 760-386-4219
Mailing Address
-- ELSIE PEARL URSUA DY
5239A PROSPECT CT
FORT IRWIN, CA 92310-2105
Phone number: