AUSTIN DEAN NIELSEN

SAN DIEGO, CA
NPI1962276436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
AUSTIN DEAN NIELSEN
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
AUSTIN DEAN NIELSEN
9687 W CANYON TER UNIT 2
SAN DIEGO, CA 92123-4683
Phone number: 850-217-3048