ANGEL OMAR VICENTE

SAN DIEGO, CA
NPI1457658924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-02-18
Last Update Date2011-02-18
Business Address
-- ANGEL OMAR VICENTE
34101 FARENHOLT AVE BUILDING #14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-6233
Mailing Address
-- ANGEL OMAR VICENTE
34101 FARENHOLT AVE BUILDING #14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-6233
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