Individual
SHAWN JEREMY KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNDERWATER CONSTRUCTION TEAM 2 MEDICAL, 4643 DOCK ROAD BLDG 524, PORT HUENEME, CA 93043-0001
(805) 982-2464
(805) 982-3246
Mailing address
UNDERWATER CONSTRUCTION TEAM 2 MEDICAL, 4643 DOCK ROAD BLDG 524, PORT HUENEME, CA 93043-0001
(805) 982-2464
(805) 982-3246
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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