ROCKEY DIAGON BOOC

SAN DIEGO, CA
NPI1922594449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-07-09
Last Update Date2018-07-09
Business Address
-- ROCKEY DIAGON BOOC IDC
3410 FARENHOLT AVE
SAN DIEGO, CA 92134-0001
Phone number: 504-419-7424
Mailing Address
-- ROCKEY DIAGON BOOC IDC
3410 FARENHOLT AVE
SAN DIEGO, CA 92134-0001
Phone number: