ZACHARY DEWITT WILSON

CAMP PENDLETON, CA
NPI1942721873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-06-30
Last Update Date2017-06-30
Business Address
ZACHARY DEWITT WILSON IDC
22 AREA REGIMENTAL AID STATION 1ST MEDICAL BATTALION
CAMP PENDLETON, CA 92055-5657
Phone number: 760-725-3784
Mailing Address
ZACHARY DEWITT WILSON IDC
5552 GENESEE CT E APT 136
SAN DIEGO, CA 92111-3035
Phone number: 423-361-6112