FELIZARDO BACARO TRIA

TWENTYNINE PALMS, CA
NPI1790835742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
Mr. FELIZARDO BACARO TRIA IDC
1145 STURGIS STREET NAVAL HOSPITAL
TWENTYNINE PALMS, CA 92278-8250
Phone number: 760-830-2621
Mailing Address
Mr. FELIZARDO BACARO TRIA IDC
2987 MAKAHA WAY
SAN DIEGO, CA 92154-1557
Phone number: