HERMIN ALEX ACOSTA

SAN DIEGO, CA
NPI1285076802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-07-24
Last Update Date2013-07-24
Business Address
Mr. HERMIN ALEX ACOSTA IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-6195
Mailing Address
Mr. HERMIN ALEX ACOSTA IDC
830 CERRISSA ST
SAN DIEGO, CA 92154-1207
Phone number: 210-313-7186
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