Individual
ERIC LAWAYNE MAYES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY HM
Contact information
Practice address
30394 SIERRA MADRE DR, TEMECULA, CA 92591-7306
(951) 972-4360
Mailing address
30394 SIERRA MADRE DR, TEMECULA, CA 92591-7306
(971) 952-4360
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
05/31/2008
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