EDGAR MANUEL GONZALEZGOMEZ

SAN DIEGO, CA
NPI1164245403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-11-05
Last Update Date2024-11-05
Business Address
EDGAR MANUEL GONZALEZGOMEZ IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-6266
Mailing Address
EDGAR MANUEL GONZALEZGOMEZ IDC
4765 GURKE ST
SAN DIEGO, CA 92124-2915
Phone number: 323-365-9491
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