HECTOR DIAZ

LA MESA, CA
NPI1063882421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
Mr. HECTOR DIAZ IDC
4577 ACACIA AVE APT 7
LA MESA, CA 91941-6478
Phone number: 619-709-4961
Mailing Address
Mr. HECTOR DIAZ IDC
4577 ACACIA AVE APT 7
LA MESA, CA 91941-6478
Phone number: 619-709-4961
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