MODERN MAN TRT LLC

SAN DIEGO, CA
NPI1811744907
Entity TypeOrganization
Authorized ContactJOHN HORTAREAS
Owner
619-356-8973
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2024-05-06
Last Update Date2024-05-06
Business Address
MODERN MAN TRT LLC
4306 W POINT LOMA BLVD APT D
SAN DIEGO, CA 92107-1165
Phone number: 619-356-8973
Mailing Address
MODERN MAN TRT LLC
4306 W POINT LOMA BLVD APT D
SAN DIEGO, CA 92107-1165
Phone number: 619-356-8973
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