FERNANDO PALENCIA

SAN DIEGO, CA
NPI1629158449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
Mr. FERNANDO PALENCIA IDC
3455 STURTEVANT ST SUITE 1
SAN DIEGO, CA 92136-5069
Phone number: 619-556-6671
Mailing Address
Mr. FERNANDO PALENCIA IDC
1433 NORMANDY DR
CHULA VISTA, CA 91913-3904
Phone number: 323-401-9926
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