Individual
JERAMY PAUL HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3325 SENN RD STE 7, SAN DIEGO, CA 92136-5049
(619) 556-5454
(619) 556-3325
Mailing address
3325 SENN RD STE 7, SAN DIEGO, CA 92136-5049
(619) 556-5454
(619) 556-3325
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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