WALTER JAVIER DESPRADEL QUINTANA

SAN DIEGO, CA
NPI1659159978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-09-18
Last Update Date2023-09-18
Business Address
WALTER JAVIER DESPRADEL QUINTANA Military Provider
840 17TH ST APT 117
SAN DIEGO, CA 92101-6655
Phone number: 619-642-7162
Mailing Address
WALTER JAVIER DESPRADEL QUINTANA Military Provider
840 17TH ST APT 117
SAN DIEGO, CA 92101-6655
Phone number: 619-642-7162
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