JORGE E TALAVERA

SAN DIEGO, CA
NPI1316336258
Professional NameJORGE E TALAVERA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-01-15
Last Update Date2015-01-15
Business Address
Mr. JORGE E TALAVERA IDC
3875 FLORIDA ST APT 2
SAN DIEGO, CA 92104
Phone number: 760-585-8030
Mailing Address
Mr. JORGE E TALAVERA IDC
3875 FLORIDA ST APT 2
SAN DIEGO, CA 92104-6241
Phone number: 760-585-8030
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