GERRY B HORTILLOSA

SAN LUIS OBISPO, CA
NPI1609181676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2010-08-13
Last Update Date2010-08-13
Business Address
Mr. GERRY B HORTILLOSA
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-788-2524
Mailing Address
Mr. GERRY B HORTILLOSA
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-788-2524