DANIEL CARRERA

SAN DIEGO, CA
NPI1174130744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-09-28
Last Update Date2020-09-28
Business Address
DANIEL CARRERA SFIDC
2645 W CANYON AVE APT 450
SAN DIEGO, CA 92123-4700
Phone number: 630-212-3269
Mailing Address
DANIEL CARRERA SFIDC
2645 W CANYON AVE APT 450
SAN DIEGO, CA 92123-4700
Phone number: 630-212-3269