CARLO RAPHAEL FULGENCIO ESCUDERO

SAN DIEGO, CA
NPI1053918011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-10-02
Last Update Date2021-12-14
Business Address
CARLO RAPHAEL FULGENCIO ESCUDERO PA-C
5575 RUFFIN RD STE 100
SAN DIEGO, CA 92123-1361
Phone number: 858-277-2744
Mailing Address
CARLO RAPHAEL FULGENCIO ESCUDERO PA-C
5575 RUFFIN RD STE 100
SAN DIEGO, CA 92123-1361
Phone number: