PORFIRIO NINO

SAN DIEGO, CA
NPI1053618520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-02-18
Last Update Date2011-02-18
Business Address
Mr. PORFIRIO NINO
805 BEYER WAY
SAN DIEGO, CA 92154-2259
Phone number: 619-857-4461
Mailing Address
Mr. PORFIRIO NINO
805 BEYER WAY
SAN DIEGO, CA 92154-2259
Phone number:
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