Individual
JONATHAN CLEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BLDG 1181 SUMNER RD, KANEOHE BAY, HI 96863
(530) 586-2563
Mailing address
PO BOX 944, ORLAND, CA 95963-0944
(530) 586-2563
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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