Individual
MR. JERMY JOE BROWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
SEAL TEAM ONE 2534 TRIDENT WAY BLDG 614, SAN DIEGO, CA 92155-0001
(619) 437-2564
Mailing address
PO BOX 181513, CORONADO, CA 92178-1513
(602) 908-9586
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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