EDGAR M. SANTIAGO

SAN DIEGO, CA
NPI1104131077
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-08-16
Last Update Date2010-08-16
Business Address
Mr. EDGAR M. SANTIAGO IDC
SURFACE WARFARE MEDICINE INST 34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-5136
Mailing Address
Mr. EDGAR M. SANTIAGO IDC
1391 SUTTER BUTTES ST
CHULA VISTA, CA 91913-2944
Phone number: 629-532-5136