GAVINO MARTIN LOPEZ

CAMP PENDLETON, CA
NPI1083237549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-05-19
Last Update Date2020-05-19
Business Address
GAVINO MARTIN LOPEZ SOIDC
1ST MARINE RAIDER BATTALION MEDICAL 555341
CAMP PENDLETON, CA 92055-5341
Phone number: 760-725-2589
Mailing Address
GAVINO MARTIN LOPEZ SOIDC
PO BOX 555341
CAMP PENDLETON, CA 92055-5341
Phone number: