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
ELIZABETH GRACE LEONARD
KEITH MICHAEL ADAMS
RYAN ALEXADER SHAFFER
MARY ROSE MORALES
JAMES EDWIN EWEN
MELANIE ANN JONES
JENNIFER DUDAK
PAUL IAN HARRIS
PATRICK D SATTERFIELD
WESLEY WALKER