IVAN MACIAS

OCEANSIDE, CA
NPI1265930846
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95120899)
Enumeration Date2018-01-29
Last Update Date2018-03-13
Business Address
IVAN MACIAS
1320 UNION PLAZA CT
OCEANSIDE, CA 92054-5659
Phone number: 000-000-0000
Mailing Address
IVAN MACIAS
1320 PLAZA UNION CT
OCEANSIDE, CA 92054-4105
Phone number: