SearchCaliforniaIndependent Duty Corpsman

Shaun Roberts, IDC

NPI 1932735800 · on the registry since 2020

Practice

Address
3d Den :Bn 3mlg
Unit 38450 Fpo Ap 96373 8450
Okinawa, CA 96373
Phone
(098) 954-7539

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2020-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California