JOSE LUIS PINA

SAN DIEGO, CA
NPI1144860990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-01-09
Last Update Date2020-05-06
Business Address
JOSE LUIS PINA
140 SYLVESTER RD
SAN DIEGO, CA 92106-3521
Phone number: 619-553-2451
Mailing Address
JOSE LUIS PINA
55 SOUTH RD APT 12C
GROTON, CT 06340-4660
Phone number: 214-289-4777
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