FERNAND MIGUEL DEFANTE

SAN DIEGO, CA
NPI1851116594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-11-18
Last Update Date2024-11-18
Business Address
FERNAND MIGUEL DEFANTE IDC
3844 SWIFT AVE APT 3
SAN DIEGO, CA 92104-3182
Phone number: 619-609-5870
Mailing Address
FERNAND MIGUEL DEFANTE IDC
3844 SWIFT AVE APT 3
SAN DIEGO, CA 92104-3182
Phone number: 619-609-5870
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