GLEN KING

JACKSONVILLE, FL
NPI1902114960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-09-23
Last Update Date2010-09-23
Business Address
-- GLEN KING
BLDG H. 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212-0140
Phone number: 843-228-7068
Mailing Address
-- GLEN KING
31 PARK CIR
BLUFFTON, SC 29910-8011
Phone number: