ANTONIO RIVERA ESTRADA

SAN DIEGO, CA
NPI1679949515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  282088)
Enumeration Date2015-08-14
Last Update Date2015-08-14
Business Address
-- ANTONIO RIVERA ESTRADA
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
Mailing Address
-- ANTONIO RIVERA ESTRADA
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663