VICENTE GABRIEL MONTEIRO MENDES

SAN DIEGO, CA
NPI1144507237
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA57011)
Additional Taxonomies171000000X Military Health Care Provider
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-11-03
Last Update Date2019-07-12
Business Address
VICENTE GABRIEL MONTEIRO MENDES PA-C
34101 FARENHOLT AVE BUILDING 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-5544
Mailing Address
VICENTE GABRIEL MONTEIRO MENDES PA-C
PO BOX 788250
TWENTYNINE PALMS, CA 92278-8250
Phone number: 760-917-3879