Individual
MR. JUSTIN PAUL VECERE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
934 FRANKLIN BLVD, LEMOORE, CA 93246-4600
(559) 998-4929
Mailing address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-4929
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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