Terry Dwayne Shoulders, IDC
Terry Dwayne Shoulders, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
3402 Tarawa Rd Special Boat Team Twelve Medical DeptSan Diego, CA 92155-5003
Phone: (619) 437-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1891949616 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | November 6, 2008 |
| Last updated in NPPES | November 6, 2008 |
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