NICASIO BORJA BONE

SAN DIEGO, CA
NPI1659904126
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-02-12
Last Update Date2020-02-12
Business Address
NICASIO BORJA BONE Military Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
NICASIO BORJA BONE Military Provider
9215 QUESTOR PL APT 3412
SAN DIEGO, CA 92108-4729
Phone number: 619-748-4583
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