JUSTIN BENTON DAUGHERTY

SAN DIEGO, CA
NPI1992100911
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-11-03
Last Update Date2014-11-03
Business Address
-- JUSTIN BENTON DAUGHERTY IDC
3124 SALMON ST
SAN DIEGO, CA 92124-3605
Phone number: 402-699-7774
Mailing Address
-- JUSTIN BENTON DAUGHERTY IDC
3124 SALMON ST
SAN DIEGO, CA 92124-3605
Phone number: 402-699-7774
Similar providers in San Diego, CA
JAMES MICHAEL BERRY
JIN SHEN
JOSHUA FRANCIS QUINSAAT PINZON
COLLEEN JANE LEON
MASON THAINE TRENTON JEFFRIES
JASON LAIR
JOHN WILLIAM BUEHRER
LUIS ALBERTO ANZURES
JAMES AARON RYAN
JUSTIN DON VILLASENOR NAPA