Individual
MRS. JENNIFER EUNHYEA GONYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-7000
(607) 197-3468
Mailing address
34800 BOB WISON DR, SAN DIEGO, CA 92134-0001
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
11/01/2022
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