OMAR GERARDO AZMITIA

SAN DIEGOT, CA
NPI1669638722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2008-07-29
Last Update Date2008-07-29
Business Address
MR. OMAR GERARDO AZMITIA IDC
34101 FARENHOLT AVE SURFACE WARFARE MEDICINE INSTITUTE
SAN DIEGOT, CA 92134
Phone number: 619-532-9476
Mailing Address
MR. OMAR GERARDO AZMITIA IDC
34101 FARENHOLT AVE SURFACE WARFARE MEDICINE INSTITUTE
SAN DIEGOT, CA 92134
Phone number: 619-532-9476