CASTOR JOSE GUTIERREZ

SAN DIEGO, CA
NPI1386939056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-06-10
Last Update Date2012-02-24
Business Address
Mr. CASTOR JOSE GUTIERREZ IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-995-5949
Mailing Address
Mr. CASTOR JOSE GUTIERREZ IDC
PO BOX 788261
TWENTYNINE PALMS, CA 92278-8261
Phone number: 619-995-5949