SIDE XI

VISALIA, CA
NPI1679643688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A85791)
Enumeration Date2006-11-08
Last Update Date2007-07-09
Business Address
-- SIDE XI MD
2611 N DINUBA BLVD
VISALIA, CA 93291-9003
Phone number: 559-733-6342
Mailing Address
-- SIDE XI MD
5957 S MOONEY BLVD
VISALIA, CA 93277-9394
Phone number: 559-737-4669
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