WYATT AUSTIN ORTEGO

SAN DIEGO, CA
NPI1598581365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-11-26
Last Update Date2024-11-26
Business Address
WYATT AUSTIN ORTEGO IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
WYATT AUSTIN ORTEGO IDC
7025 WAITE DR APT 20A
LA MESA, CA 91941-7563
Phone number: 417-440-0494
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