MIKAEL ANTANG

SAN DIEGO, CA
NPI1487336608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-08-07
Last Update Date2023-08-07
Business Address
MIKAEL ANTANG IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
MIKAEL ANTANG IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: