Individual
BENJAMIN WILLIS ROZEBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
9 COOSAWHATCHIE WAY, BEAUFORT, SC 29906-6039
(910) 381-5881
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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