MAURICE KIM TANJUAQUIO

SAN DIEGO, CA
NPI1205268349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-07-31
Last Update Date2013-07-31
Business Address
Mr. MAURICE KIM TANJUAQUIO IDC
3913 INGRAHAM ST APT U309
SAN DIEGO, CA 92109-5918
Phone number: 619-518-4329
Mailing Address
Mr. MAURICE KIM TANJUAQUIO IDC
3913 INGRAHAM ST APT U309
SAN DIEGO, CA 92109-5918
Phone number: 619-518-4329
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