GABRIEL JOSE SAN PEDRO

SAN DIEGO, CA
NPI1003309410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-06-11
Last Update Date2018-06-11
Business Address
Mr. GABRIEL JOSE SAN PEDRO IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
Mr. GABRIEL JOSE SAN PEDRO IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968