Individual
JOSEPH ENDERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3864 CHUM LN NW, BREMERTON, WA 98312-9443
(360) 315-4204
Mailing address
3864 CHUM LN NW, BREMERTON, WA 98312-9443
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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