Individual
MR. JEROME STANLEY HARDING II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD, SAN DIEGO, CA 92140
(619) 524-4045
Mailing address
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD, SAN DIEGO, CA 92140
(619) 524-4045
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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