ROBERT BACA

SAN DIEGO, CA
NPI1770102485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-04-13
Last Update Date2020-04-13
Business Address
ROBERT BACA
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
ROBERT BACA
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400